This log is also available as text (222cc.txt) and as a (binary) annotation file (222cc.log).
Generated: Thursday, 23-Apr-2009 00:35:41 EDT
(All dates below are surrogates.)
id: Compliance (40-60ml) t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.2 st: NotStopd id: I:E Ratio t0: [20:00:00 10/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 9.82 n1: 9.82 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 613 n1: 613 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 11/02/2016] el: 1 ai: 121 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [00:00:00 11/02/2016] el: 1 ai: 109 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [00:00:00 11/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 35 vu: ml id: Tube Feeding t0: [23:00:00 10/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 10/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 380 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 10/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [00:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/02/2016] el: 2 cg: RN cu: CCU pv: 29.5 cv: 694 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/02/2016] el: 2 cg: RN cu: CCU pv: 64.5 cv: 1339 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU cv: 405 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 10/02/2016] el: 2 cg: RN cu: CCU pv: 35 cv: 165 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/02/2016] el: 2 cg: RN cu: CCU pv: 64.5 cv: -722 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/02/2016] el: 2 cg: RN cu: CCU pv: 64.5 cv: 1386.75 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/02/2016] el: 2 cg: RN cu: CCU pv: 64.5 cv: 64.5 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: PAP Mean t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: PAP Mean t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/02/2016] 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: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/02/2016] 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: [02:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [01:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [02:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [02:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [01:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [23:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [23:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [03:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [03:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 619 n1: 619 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: CaO2 t0: [04:04:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.4015 n1: 14.4015 u1: ml/dl st: NotStopd id: WBC t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: Hematocrit t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.7 n1: 29.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 215 n1: 215 rs: Final st: NotStopd id: RBC t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.37 n1: 3.37 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Cardiac Index t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2.64151 n1: 2.64151 u1: ... st: NotStopd id: Code Status t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [04:04:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 369.6 n1: 369.6 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/02/2016] 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: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Swan SVO2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: % st: NotStopd id: calprevflg t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 rs: Manual st: NotStopd id: SaO2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 5.60071 n1: 5.60071 u1: L/min st: NotStopd
id: BUN t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 rs: Final st: NotStopd id: Magnesium t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 10/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: On v2: Right Knee st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Angio Appearance #1 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: SVR t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 957.143 n1: 957.143 u1: ... st: NotStopd id: SVRI t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2030.3 n1: 2030.3 u1: ... st: NotStopd id: Side Rails t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [04:00:00 11/02/2016] el: 1 ai: 121 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [04:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [05:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [05:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [04:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4304446 hi: 18838 t0: [07:00:00 11/02/2016] tf: [06:00:00 12/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/02/2016] 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: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [06:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [06:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PT t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:53:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/02/2016] 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: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 11/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [07:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: RSBI Not Completed t0: [04:00:00 11/02/2016] el: 0 cg: 2827 cu: CCU v1: No Spon Resp st: NotStopd
pi: 4304512 hi: 18838 t0: [08:00:00 11/02/2016] tf: [12:00:00 12/02/2016] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 11/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 55 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 11/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 11/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: 135 cv: 835.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: 135 cv: 3240.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: 600 cv: 600 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU cv: 475 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: 600 cv: 3476 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: -465 cv: -235.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: -465 cv: 1151.25 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: -465 cv: -465 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU pv: 600 cv: 3476 ac: 24 ap: none re: 0
id: Temp. Site t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd
id: Resp Rate (Spont) t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 18 n1: 18 st: NotStopd
pi: 4304760 hi: 18838 t0: [20:00:00 11/02/2016] tf: [12:00:00 12/02/2016] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4304761 hi: 18838 t0: [09:00:00 11/02/2016] tf: [08:00:00 12/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: INV Line#1 Type/Site t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#1 Cap Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd
id: Fentanyl t0: [08:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: On st: NotStopd id: Oral Care t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Art.pH t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.2458 n1: 14.2458 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [08:18:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Cardiac Index t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 3.34906 n1: 3.34906 u1: ... st: NotStopd id: DO2I t0: [08:18:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 469 n1: 469 u1: ml/m/m st: NotStopd id: SVR t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 698.592 n1: 698.592 u1: ... st: NotStopd id: SVRI t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1480.6 n1: 1480.6 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 rs: Manual st: NotStopd id: SaO2 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 7.1086 n1: 7.1086 u1: L/min st: NotStopd
pi: 4304779 hi: 18838 t0: [10:00:00 11/02/2016] tf: [09:00:00 12/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [08:00:00 11/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [09:00:00 11/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 100 vu: ml id: GT Flush t0: [09:00:00 11/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [09:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [09:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 D/C Date t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Cap Change t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [10:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Guaiac/ph t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Site #1 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: RLE Temp/Color t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yellow st: NotStopd id: Urine Source t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [10:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [09:30:00 11/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [09:30:00 11/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [10:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 100 cg: RN cu: CCU am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 1 cg: RN cu: CCU ra: 5.9796 ru: ml/hr
id: TF Residual t0: [11:00:00 11/02/2016] el: 1 ai: 128 cg: -1 cu: CCU vo: 0 st: D/C'd id: Tube Feeding t0: [11:00:00 11/02/2016] el: 1 ai: 126 cg: -1 cu: CCU vo: 0 st: D/C'd
id: BSA t0: [11:06:00 11/02/2016] el: 1033 cg: -1 cu: CCU v1: 2.12126 n1: 2.12126 u1: m2 id: Admit Wt t0: [11:06:00 11/02/2016] el: 1032 cg: -1 cu: CCU v1: 90.6 n1: 90.6 u1: kg id: Allergy 1 t0: [11:06:00 11/02/2016] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [11:06:00 11/02/2016] el: 1023 cg: -1 cu: CCU v1: CARDIAC ARREST id: Service t0: [11:06:00 11/02/2016] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [11:06:00 11/02/2016] el: 1034 cg: -1 cu: CCU v1: 68 n1: 68 u1: inches id: Readmission t0: [11:06:00 11/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [11:06:00 11/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [11:06:00 11/02/2016] el: 1000 cg: -1 cu: CCU v1: OTR id: Allergy 2 t0: [11:06:00 11/02/2016] el: 1021 cg: -1 cu: CCU id: Ext t0: [11:06:00 11/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [11:06:00 11/02/2016] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] 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: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] 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: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: % st: NotStopd id: SpO2 t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:55:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [11:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [10:55:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:55:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [11:00:00 11/02/2016] el: 1 ai: 210 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Nitroglycerine-k t0: [11:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.44 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Intubation Date t0: [11:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: O2 Delivery Device t0: [11:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 11/02/2016] 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: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [11:30:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.883002 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Airway Size t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: PEEP Set t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Respiratory Rate Set t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Bloody v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [12:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: CaO2 t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.8784 n1: 13.8784 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 57 n1: 57 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Hematocrit t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: SaO2 t0: [13:34:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
pi: 4305700 hi: 18838 t0: [15:00:00 11/02/2016] tf: [09:00:00 12/02/2016] mn: Eptifibatide pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 18 di: Hours xv: 36 xu: Hours pi: 4305839 hi: 18838 t0: [10:00:00 11/02/2016] tf: [19:00:00 16/02/2016] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 4 di: Weeks xv: 36 xu: Hours pi: 4305859 hi: 18838 t0: [15:00:00 11/02/2016] tf: [09:00:00 28/02/2016] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.9975 n1: 14.9975 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 259 n1: 259 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Hematocrit t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: % rs: Final st: NotStopd id: SaO2 t0: [14:39:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Integrelin io: D5W 100.0ml + 75mcgkgmin Integrelin el: 200 cg: RN cu: CCU am: 75 du: mcgkgmin rt: IV Drip id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
id: CVP t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Cardiac Index t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PA line cm Mark t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Mean t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP S/D t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PCWP t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: SVR t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Swan SVO2 t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O.(thermodilution) t0: [15:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 11/02/2016] el: 1 ai: 210 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [12:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.883002 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 11/02/2016] 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: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: SpO2 t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: calprevflg t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [15:30:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [15:30:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Cath Lab Intake t0: [15:00:00 11/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 1150 vu: ml id: Cath Lab Intake t0: [15:00:00 11/02/2016] el: 2 ai: 190 cg: RN cu: CCU vo: 1150 vu: ml id: Urine Out Foley t0: [15:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 800 vu: ml
id: Fentanyl t0: [15:30:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:30:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [15:30:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:30:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vu: ml
id: Fentanyl t0: [12:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 23.0769 n1: 23.0769 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 5.5 n1: 5.5 st: NotStopd id: Mean Airway Pressure t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 578 n1: 578 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:30:00 11/02/2016] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:30:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 37.5 vu: ml id: Urine Out Foley t0: [15:30:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:30:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
pi: 4306122 hi: 18838 t0: [10:00:00 11/02/2016] tf: [07:00:00 12/02/2016] mn: Aspirin EC pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: Health Care Proxy t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Angio Site #1 t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pacemaker Mode t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Mode t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacemaker Type t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Pacer Wire Condition t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: Arterial BP t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Atrial Sens/Capture t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: Yes st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:45:00 11/02/2016] 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: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/02/2016] 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: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [15:30:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: Respiratory Rate t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [15:45:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:45:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:45:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [15:45:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [16:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:45:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Diastolic Unloading t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Assisted Systole t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Augmented Diastole t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: BAEDP t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Systolic Unloading t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [16:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 7 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 1.5 vu: ml
id: Art.pH t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Riker-SAS Scale t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Diet Type t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Atr Stim Thresh mA t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Angio Appearance #1 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oozing v2: Oozing st: NotStopd id: Angio Appearance #2 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacer Rate t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Pacer Wire Condition t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Atrial Sens/Capture t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: Yes st: NotStopd id: AtrialmA/Sensitivity t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Sputum Color/Consist t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Urine Source t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: WBC (4-11,000) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: CaO2 t0: [16:35:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.2492 n1: 14.2492 u1: ml/dl st: NotStopd id: WBC t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: Hematocrit t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.1 n1: 30.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 222 n1: 222 rs: Final st: NotStopd id: RBC t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.42 n1: 3.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Oral Care t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Position Change t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: Reason For Restraint t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#4 Cap Change t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Pt./Family Informed t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4306490 hi: 18838 t0: [18:00:00 11/02/2016] tf: [17:00:00 12/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4306491 hi: 18838 t0: [18:00:00 11/02/2016] tf: [17:00:00 12/02/2016] mn: Clopidogrel Bisulfate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/02/2016] 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: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [17:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [17:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [17:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 627 n1: 627 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 11/02/2016] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd
id: BUN t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:25:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 11/02/2016] el: 0 cg: CoWker cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [18:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Packed RBC's t0: [18:00:00 11/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: Gastric Meds t0: [17:00:00 11/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: Gastric Meds t0: [18:00:00 11/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [17:00:00 11/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [18:00:00 11/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [18:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4306853 hi: 18838 t0: [19:00:00 11/02/2016] tf: [18:00:00 12/02/2016] mn: Haloperidol pt: Unit Dose st: Expired rt: IM fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Health Care Proxy t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: IABP Mean t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 11/02/2016] 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: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 38.3889 n1: 38.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Temperature F t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 101.1 n1: 101.1 u1: Deg. F st: NotStopd id: calprevflg t0: [18:15:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:15:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:15:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [18:15:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:15:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4306909 hi: 18838 t0: [20:00:00 11/02/2016] tf: [19:00:00 12/02/2016] mn: Clopidogrel Bisulfate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/02/2016] 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: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [19:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [19:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [19:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 625 n1: 625 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 11/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: CVP Alarm (Lo/Hi) t0: [20:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Alarm (Lo/Hi) t0: [20:00:00 11/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4307154 hi: 18838 t0: [21:00:00 11/02/2016] tf: [20:00:00 12/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4307155 hi: 18838 t0: [21:00:00 11/02/2016] tf: [20:00:00 12/02/2016] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/02/2016] 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 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Systolic Unloading t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [20:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [20:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pain Location t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Temp. Site t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [20:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Capillary Refill R/L t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Atr Stim Thresh mA t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Pacer Wire Condition t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Atrial Sens/Capture t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: Yes st: NotStopd id: AtrialmA/Sensitivity t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Position Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Behavior t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: HOB t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd
id: INV Line#4 Type/Site t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd
id: INV Line#3 Type/Site t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd
id: Gastric Meds t0: [20:00:00 11/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 11/02/2016] 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 11/02/2016] 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 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [21:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [21:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Packed RBC's t0: [21:00:00 11/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Blood Products Total t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Art.pH t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.2151 n1: 14.2151 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [21:10:00 11/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: D5W 100.0ml t0: [21:30:00 11/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 11/02/2016] 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: [22:00:00 11/02/2016] 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: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [22:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [22:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Capillary Refill R/L t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: LUE Temp/Color t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 11/02/2016] el: 0 cg: CoWker cu: CCU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 11/02/2016] 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: [23:00:00 11/02/2016] 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: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: % st: NotStopd id: Arterial BP #2 t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [23:00:00 11/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [23:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [23:00:00 11/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [23:00:00 11/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 11/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 11/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 11/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 11/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Sputum Color/Consist t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [00:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 12/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [00:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Compliance (40-60ml) t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 625 n1: 625 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: Fingerstick Glucose t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 rs: Manual st: NotStopd
id: Temp. Site t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd
id: Pain Present t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pain Location t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: Capillary Refill R/L t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Atr Stim Thresh mA t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Pacer Wire Condition t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: AtrialmA/Sensitivity t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: In-Line Sx Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Behavior t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: INV Line#3 Type/Site t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Turn t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Service Type t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [01:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [01:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 230 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Art.pH t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: CaO2 t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.6545 n1: 13.6545 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [01:28:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Platelets t0: [01:10:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 221 n1: 221 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: calprevflg t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [02:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [02:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Potassium t0: [01:10:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:10:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd
id: CPK/MB t0: [01:10:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 114 n1: 114 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Respiratory Rate t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [03:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [03:00:00 12/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [03:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Service Type t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/02/2016] 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: [04:00:00 12/02/2016] 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: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: SpO2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [04:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: D5W 100.0ml t0: [04:00:00 12/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [04:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: INV Line#3 Type/Site t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Activity t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Behavior t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [02:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 11/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Capillary Refill R/L t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Atr Stim Thresh mA t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Pacer Wire Condition t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: AtrialmA/Sensitivity t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Pain Present t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pain Location t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [05:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [05:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Service Type t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [05:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 27.2727 n1: 27.2727 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4308169 hi: 18838 t0: [07:00:00 12/02/2016] tf: [06:00:00 13/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [06:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Urine Out Foley t0: [06:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/02/2016] 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: [06:00:00 12/02/2016] 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: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4308284 hi: 18838 t0: [10:00:00 12/02/2016] tf: [11:00:00 12/02/2016] mn: Aspirin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [07:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Service Type t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Art.pH t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Code Status t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 12/02/2016] 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: [07:00:00 12/02/2016] 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: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [07:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Fentanyl t0: [07:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Integrelin t0: [06:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.93157 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Integrelin t0: [07:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [07:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [08:00:00 12/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [08:01:00 12/02/2016] el: 2 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: BUN t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: CaO2 t0: [07:05:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.1339 n1: 15.1339 u1: ml/dl st: NotStopd id: WBC t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.5 n1: 32.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.4 n1: 11.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 235 n1: 235 rs: Final st: NotStopd id: RBC t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.69 n1: 3.69 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: PT t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: INR t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: PTT(22-35) t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/02/2016] 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: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: CPK/MB t0: [06:52:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 76 n1: 76 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/02/2016] 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: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: calprevflg t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4309002 hi: 18838 t0: [10:00:00 12/02/2016] tf: [18:00:00 02/03/2016] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 12/02/2016] 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: [11:00:00 12/02/2016] 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: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 613 n1: 613 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 12/02/2016] el: 0 cg: CoWker cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/02/2016] 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: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Respiratory Rate t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: SpO2 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [12:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Capillary Refill R/L t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Capillary Refill R/L t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Atr Stim Thresh mA t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atr Stim Thresh mA t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: Atrial Sens mV/mA t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Eye Opening t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GCS Total t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #1 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #1 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Oral Cavity t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Mode t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacemaker Type t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Pacer Rate t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Pacer Wire Condition t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: Pacer Wire Condition t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Attached-pacer st: NotStopd id: Position Change t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: AtrialmA/Sensitivity t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: AtrialmA/Sensitivity t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [12:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Service Type t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP Mean t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Assisted Systole t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/02/2016] 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: [15:00:00 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Augmented Diastole t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: BAEDP t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: SpO2 t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 27.2727 n1: 27.2727 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 539 n1: 539 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 12/02/2016] el: 0 cg: SRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: SpO2 t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Temp. Site t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [16:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [16:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: WBC t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.1 n1: 32.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 222 n1: 222 rs: Final st: NotStopd id: RBC t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.64 n1: 3.64 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [15:54:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diastolic Unloading t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP Mean t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Assisted Systole t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 12/02/2016] 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: [18:00:00 12/02/2016] 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: [17:00:00 12/02/2016] 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: [18:00:00 12/02/2016] 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: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Augmented Diastole t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: BAEDP t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Service Type t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 12/02/2016] 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: [19:00:00 12/02/2016] 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: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [19:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [18:11:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 57.5 n1: 57.5 rs: Final st: NotStopd id: PTT(22-35) t0: [18:11:00 12/02/2016] el: 0 cg: 1663 cu: CCU v1: 57.5 n1: 57.5 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 12/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 12/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [21:00:00 12/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diastolic Unloading t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diastolic Unloading t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Atr Stim Thresh mA t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: GCS Total t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Brown st: NotStopd id: HOB t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP Mean t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP Mean t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #2 t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: KneeImmobilizer/Loc t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: On v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Arterial BP t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Assisted Systole t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Assisted Systole t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/02/2016] 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: [21:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] 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: [21:00:00 12/02/2016] 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 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/02/2016] 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 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Augmented Diastole t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Augmented Diastole t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Reason For Restraint t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: BAEDP t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: BAEDP t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [18:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Source t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Behavior t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [22:00:00 12/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 12/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: Gastric Meds t0: [22:00:00 12/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [22:00:00 12/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 12/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Gastric Oral Gastric t0: [22:00:00 12/02/2016] el: 2 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 12/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [20:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 10 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 978 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 1038 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 1680 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: -652 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 499.249 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/02/2016] el: 2 cg: RN cu: CCU cv: 1690 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 13/02/2016] el: 0 cg: CoWker cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:20:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Less Restrict Meas. t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Code Status t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Brown st: NotStopd id: HOB t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP Mean t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: KneeImmobilizer/Loc t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: On v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Arterial BP t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Assisted Systole t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 13/02/2016] 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: [02:00:00 13/02/2016] 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 13/02/2016] 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: [02:00:00 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Augmented Diastole t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: BAEDP t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: BAEDP t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [01:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #1 Reason DC'D t0: [03:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [03:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [03:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [03:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [03:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Code Status t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 13/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Daily Wake Up t0: [03:00:00 13/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Atr Stim Thresh mA t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Brown st: NotStopd id: HOB t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: KneeImmobilizer/Loc t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: On v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Arterial BP t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Cause t0: [21:00:00 12/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Pain Location t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] 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 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Reason For Restraint t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: BAEDP t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Source t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [03:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.07 n1: 7.07 u1: L/min st: NotStopd id: PEEP Set t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 505 n1: 505 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:45:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: IABP Mean t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Assisted Systole t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Augmented Diastole t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: BAEDP t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Skin Integrity t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Systolic Unloading t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Temperature F t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Braden Activity t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [04:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: GT Flush t0: [04:00:00 13/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 60 vu: ml id: Stool Out Rectal Tube t0: [04:00:00 13/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Large id: Urine Out Foley t0: [02:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [04:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Gastric Oral Gastric t0: [04:00:00 13/02/2016] el: 2 cg: RN cu: CCU vo: 30 vu: ml
id: Gastric Out Total t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 40 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 190 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 152 n1: 152 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Ionized Calcium t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.16 n1: 1.16 rs: Final st: NotStopd id: SaO2 t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: CaO2 t0: [05:42:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.3104 n1: 15.3104 u1: ml/dl st: NotStopd id: WBC t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: Hematocrit t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.4 n1: 32.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 245 n1: 245 rs: Final st: NotStopd id: RBC t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.66 n1: 3.66 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd
id: Urine Out Foley t0: [06:00:00 13/02/2016] el: 1 cg: CoWker cu: CCU vo: 45 vu: ml
id: Total Hourly Output t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 650 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 690 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [06:00:00 13/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 13/02/2016] 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: [06:00:00 13/02/2016] 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: [22:30:00 12/02/2016] 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 13/02/2016] 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: [06:00:00 13/02/2016] 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: [22:30:00 12/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 12/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [05:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:30:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:30:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:30:00 12/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 868 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 1133 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 443 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 942.249 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: PT t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: INR t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 57.2 n1: 57.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: PTT(22-35) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 57.2 n1: 57.2 rs: Final st: NotStopd
id: BUN t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: CPK/MB t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.2 n1: 7.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 546 n1: 546 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diastolic Unloading t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Diet Type t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atrial Sens mV/mA t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Brown st: NotStopd id: HOB t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP Mean t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: IV Site Appear #4 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Off v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Arterial BP t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Assisted Systole t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: Atrial Sens/Capture t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v2: Yes st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Augmented Diastole t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Reason For Restraint t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: BAEDP t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 5 n2: 5 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Pacemaker Mode t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] 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: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: calprevflg t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Type t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IV #1 Insert Date t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV Site Appear #4 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Assisted Systole t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #2 Reason DC'D t0: [11:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [11:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [11:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [11:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [11:00:00 13/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Compliance (40-60ml) t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 647 n1: 647 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:30:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: ALT t0: [05:34:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 80 n1: 80 rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Sputum Color/Consist t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Pain Present t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] 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: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Respiratory Rate t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: SpO2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: Gastric Meds t0: [10:00:00 13/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
id: Creatinine t0: [12:00:00 13/02/2016] el: 0 cg: CoWker cu: CCU v1: 125 n1: 125 rs: Manual st: NotStopd id: Creatinine (0-1.3) t0: [12:00:00 13/02/2016] el: 0 cg: CoWker cu: CCU v1: 125 n1: 125 rs: Manual st: NotStopd
id: Code Status t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Level of Conscious t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Systolic Unloading t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Verbal Response t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Capillary Refill R/L t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Education Barrier t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Atr Stim Thresh mA t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Intub #1/Site t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#4 Type/Site t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Off v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Position t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: AtrialmA/Sensitivity t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: INV#4 Cap Change t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [13:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 13/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diet Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Low Intermittent st: NotStopd id: HOB t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#4 WaveformAppear t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [11:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Off v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Oral Care t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Diastolic Unloading t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Type t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: ABI (L) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.27273 n1: 1.27273 u1: . st: NotStopd id: ABI (R) t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.5 n1: 1.5 u1: . st: NotStopd id: ABI Ankle BP R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Augmented Diastole t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Glucose t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:44:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.1 n1: 17.1 rs: Final st: NotStopd id: WBC t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.1 n1: 17.1 rs: Final st: NotStopd id: Hematocrit t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.8 n1: 32.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 239 n1: 239 rs: Final st: NotStopd id: RBC t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.71 n1: 3.71 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.1 n1: 17.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Ectopy Type t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assisted Systole t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding 15.0ml t0: [18:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [18:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1200 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 49.4 n1: 49.4 rs: Final st: NotStopd id: PTT(22-35) t0: [16:55:00 13/02/2016] el: 0 cg: 1663 cu: CCU v1: 49.4 n1: 49.4 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.59 n1: 8.59 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 628 n1: 628 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 13/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 13/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP setting t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Off v2: Both Knees st: NotStopd id: LUE Temp/Color t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Level of Conscious t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #2 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #2 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Pain Location t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: Reason For Restraint t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Arterial BP #2 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Turn t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 24 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding 15.0ml t0: [17:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Tube Feeding 15.0ml t0: [20:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [20:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Diastolic Unloading t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: IABP Mean t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Assisted Systole t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Augmented Diastole t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: BAEDP t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Systolic Unloading t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd
id: Urine Out Foley t0: [20:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Compliance (40-60ml) t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.61 n1: 8.61 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 622 n1: 622 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Diet Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP Mean t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: IABP Mean t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP Mean t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: KneeImmobilizer/Loc t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Off v2: Both Knees st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #1 t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #2 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Assisted Systole t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Assisted Systole t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Assisted Systole t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 14/02/2016] 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: [21:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] 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 14/02/2016] 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: [21:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/02/2016] 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 13/02/2016] 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 13/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLE Temp/Color t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Augmented Diastole t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Augmented Diastole t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Augmented Diastole t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: BAEDP t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: BAEDP t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: BAEDP t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Moisture t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 28 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 13/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 28 vu: ml id: Stool Out Rectal Tube t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Stool Out Rectal Tube t0: [20:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Tube Feeding t0: [00:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 13/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 13/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Gastric Oral Gastric t0: [00:00:00 14/02/2016] el: 2 cg: RN cu: CCU vo: 12 vu: ml id: Gastric Oral Gastric t0: [20:00:00 13/02/2016] el: 2 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 13/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 13/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
io: Tube Feeding el: 1 cg: RN cu: CCU ra: 15 ru: ml/hr io: Tube Feeding el: 2 cg: RN cu: CCU ra: 15 ru: ml/hr
id: Art.pH t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [01:49:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd
id: Tube Feeds In Total t0: [23:00:00 13/02/2016] el: 2 cg: 1663 cu: CCU cv: 75 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Glucose t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd id: Diastolic Unloading t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: Heart Rhythm t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: IABP Mean t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Assisted Systole t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 14/02/2016] 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: [02:00:00 14/02/2016] 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 14/02/2016] 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: [02:00:00 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Augmented Diastole t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: BAEDP t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [00:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [02:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [02:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 26.087 n1: 26.087 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.69 n1: 8.69 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 626 n1: 626 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diastolic Unloading t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diastolic Unloading t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Diet Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: GI#1 Intub Site t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP Mean t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP Mean t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Site/Size t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Assistance Device t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Assisted Systole t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Assisted Systole t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 14/02/2016] 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 14/02/2016] 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: [05:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] 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: [05:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Augmented Diastole t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Augmented Diastole t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: BAEDP t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: BAEDP t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Stool Out Rectal Tube t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Tube Feeding t0: [03:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [03:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [04:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [04:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [05:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [05:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Gastric Oral Gastric t0: [04:00:00 14/02/2016] el: 2 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 47 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0
id: Art.pH t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Ionized Calcium t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.13 n1: 1.13 rs: Final st: NotStopd id: SaO2 t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
pi: 4313537 hi: 18838 t0: [07:00:00 14/02/2016] tf: [06:00:00 15/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 14/02/2016] 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: [06:00:00 14/02/2016] 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: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 14/02/2016] el: 1 ai: 117 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [06:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [06:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU pv: 34.5 cv: 1275.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU pv: 89.5 cv: 2110.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 715 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2016] el: 2 cg: PCT cu: CCU cv: 804 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU pv: 89.5 cv: 1259.5 ac: 24 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU pv: 89.5 cv: 89.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 851 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: CaO2 t0: [05:43:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.9729 n1: 14.9729 u1: ml/dl st: NotStopd id: WBC t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: Hematocrit t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 33.4 n1: 33.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 233 n1: 233 rs: Final st: NotStopd id: RBC t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.75 n1: 3.75 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.4 n1: 18.4 rs: Final st: NotStopd
id: Gastric Meds t0: [22:00:00 13/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [22:00:00 13/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 60 vu: ml
id: LOS Net Body Balance t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU pv: 89.5 cv: 2201.75 ac: multiple days ap: carryForward re: 0
id: PT t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: INR t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 67.5 n1: 67.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.8 n1: 16.8 rs: Final st: NotStopd id: PTT(22-35) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 67.5 n1: 67.5 rs: Final st: NotStopd
id: BUN t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: CPK/MB t0: [05:30:00 14/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd
id: Hematocrit t0: [05:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 33.4 n1: 33.4 u1: % rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atrial Sens mV/mA t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Heart Rate t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Precautions t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: RLE Temp/Color t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Reason For Restraint t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Side Rails t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Temp. Site t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [08:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [08:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: ETT Position Change t0: [08:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Extubation Date t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 616 n1: 616 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4313694 hi: 18838 t0: [10:00:00 14/02/2016] tf: [00:00:00 23/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 10, 22 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours pi: 4313695 hi: 18838 t0: [10:00:00 14/02/2016] tf: [12:00:00 16/02/2016] mn: Metronidazole pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 10, 18, 2 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4313950 hi: 18838 t0: [16:00:00 14/02/2016] tf: [21:00:00 14/02/2016] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Type t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IV #1 Insert Date t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 6 n2: 6 st: NotStopd id: IV #4 Insert Date t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #4 Site/Size t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: KneeImmobilizer/Loc t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Off v2: Both Knees st: NotStopd id: Oral Care t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] 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: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [09:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [10:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [10:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Diastolic Unloading t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Type t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Assisted Systole t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [11:00:00 14/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 40 vu: ml id: Gastric Oral Gastric t0: [11:00:00 14/02/2016] el: 2 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [11:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 26.087 n1: 26.087 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 607 n1: 607 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Care t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Angio Appearance #1 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Motor Response t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Site #1 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Assistance Device t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] 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: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: RLE Temp/Color t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Radiologic Study t0: [08:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 14/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [10:00:00 14/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [11:00:00 14/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [12:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [12:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Reason For Restraint t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Side Rails t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [14:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 70 vu: ml id: Tube Feeding t0: [14:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Compliance (40-60ml) t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 8.35 n1: 8.35 u1: L/min st: NotStopd id: PEEP Set t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 603 n1: 603 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:20:00 14/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Circulation/SkinInt t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Atr Stim Thresh mA t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [15:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: ABI (L) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.11111 n1: 1.11111 u1: . st: NotStopd id: IV #4 Insert Date t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: ABI (R) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.01852 n1: 1.01852 u1: . st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: ABI Ankle BP R/L t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: Pacemaker Mode t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: RLE Temp/Color t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 108 n2: 108 u2: mmHg st: NotStopd id: Reason For Restraint t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Side Rails t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Turn t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [16:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 70 vu: ml id: Tube Feeding t0: [16:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 8 vu: ml
id: Fentanyl t0: [16:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Type t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Assisted Systole t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Augmented Diastole t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Fentanyl t0: [17:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Family Communication t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [16:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Reason For Restraint t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Gastric Meds t0: [18:00:00 14/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [18:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 70 vu: ml id: Tube Feeding t0: [18:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: Gastric Oral Gastric t0: [18:00:00 14/02/2016] el: 2 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [18:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.36 n1: 8.36 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 603 n1: 603 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 14/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
pi: 4315082 hi: 18838 t0: [22:00:00 14/02/2016] tf: [17:00:00 16/02/2016] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Diet Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Atr Stim Thresh mA t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 14/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: Augmented Diastole t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Reason For Restraint t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Side Rails t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [20:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [20:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 14/02/2016] el: 0 cg: PCT 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 14/02/2016] el: 0 cg: PCT 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 14/02/2016] el: 0 cg: PCT cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: SpO2 t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 127 n1: 127 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Temp. Site t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 14/02/2016] el: 0 cg: PCT cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 14/02/2016] el: 1 ai: 107 cg: PCT cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 14/02/2016] el: 1 ai: 107 cg: PCT cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [21:00:00 14/02/2016] el: 1 ai: 168 cg: PCT cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [21:00:00 14/02/2016] el: 2 ai: -1 cg: PCT cu: CCU vo: 45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 14/02/2016] el: 1 ai: 168 cg: PCT cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [21:00:00 14/02/2016] el: 1 cg: PCT cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 14/02/2016] el: 1 ai: 209 cg: PCT cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [21:00:00 14/02/2016] el: 1 cg: PCT cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 14/02/2016] el: 1 cg: PCT cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 14/02/2016] el: 1 cg: PCT cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 15/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diastolic Unloading t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Diastolic Unloading t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Diet Type t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: IABP Mean t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: IABP Mean t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Assisted Systole t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Assisted Systole t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 15/02/2016] 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 14/02/2016] 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 14/02/2016] 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 15/02/2016] 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 14/02/2016] 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 14/02/2016] 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 15/02/2016] 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 14/02/2016] 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 14/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Augmented Diastole t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Augmented Diastole t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Reason For Restraint t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: BAEDP t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: BAEDP t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Systolic Unloading t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Source t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 14/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 14/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Gastric Meds t0: [00:00:00 15/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: Gastric Meds t0: [20:00:00 14/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [00:00:00 15/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [20:00:00 14/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: Stool Out Rectal Tube t0: [00:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Stool Out Rectal Tube t0: [20:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Tube Feeding t0: [00:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [00:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [22:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [22:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [23:00:00 14/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 14/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: Gastric Oral Gastric t0: [00:00:00 15/02/2016] el: 2 cg: RN cu: CCU vo: 5 vu: ml id: Gastric Oral Gastric t0: [20:00:00 14/02/2016] el: 2 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 14/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [00:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 14/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 14/02/2016] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 90 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.65 n1: 8.65 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 624 n1: 624 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [01:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [01:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [01:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: IABP Mean t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Assisted Systole t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 15/02/2016] 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: [03:00:00 15/02/2016] 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 15/02/2016] 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: [03:00:00 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Augmented Diastole t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: BAEDP t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Systolic Unloading t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [02:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [02:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [03:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [03:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [02:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [02:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 15/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diet Type t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Atr Stim Thresh mA t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 15/02/2016] 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: [04:00:00 15/02/2016] 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: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Reason For Restraint t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: % st: NotStopd id: Arterial BP #2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [04:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [04:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [04:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Lactic Acid t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Ionized Calcium t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.14 n1: 1.14 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: SaO2 t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.3 n1: 18.3 rs: Final st: NotStopd id: CaO2 t0: [04:21:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7727 n1: 14.7727 u1: ml/dl st: NotStopd id: WBC t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.3 n1: 18.3 rs: Final st: NotStopd id: Hematocrit t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.9 n1: 31.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.9 n1: 10.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 212 n1: 212 rs: Final st: NotStopd id: RBC t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.58 n1: 3.58 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.3 n1: 18.3 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 609 n1: 609 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: BUN t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: Magnesium t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Diastolic Unloading t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A Paced st: NotStopd id: IABP Mean t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP Mean t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Assisted Systole t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 15/02/2016] 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: [06:00:00 15/02/2016] 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 15/02/2016] 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: [06:00:00 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Augmented Diastole t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Reason For Restraint t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: BAEDP t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Side Rails t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Systolic Unloading t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Temp. Site t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Mobility t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [06:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [06:00:00 15/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Stool Out Rectal Tube t0: [06:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Tube Feeding t0: [05:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [05:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [06:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [06:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Gastric Oral Gastric t0: [06:00:00 15/02/2016] el: 2 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [05:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 10 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 1359.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 2714.5 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 1265 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 880 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 1824.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 4026.25 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/02/2016] el: 2 cg: RN cu: CCU cv: 890 ac: 24 ap: none re: 0
pi: 4315586 hi: 18838 t0: [07:00:00 15/02/2016] tf: [06:00:00 16/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: INR t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 57.1 n1: 57.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:10:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 57.1 n1: 57.1 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diastolic Unloading t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP Mean t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Assisted Systole t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 15/02/2016] 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: [08:00:00 15/02/2016] 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: [07:00:00 15/02/2016] 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: [08:00:00 15/02/2016] 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: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Augmented Diastole t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: BAEDP t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Systolic Unloading t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: calprevflg t0: [07:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Atr Stim Thresh mA t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: ABI (L) t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 0.818182 n1: 0.818182 u1: . st: NotStopd id: ABI (R) t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 0.909091 n1: 0.909091 u1: . st: NotStopd id: Angio Site #1 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: ABI Ankle BP R/L t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Pacemaker Mode t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: AtrialmA/Sensitivity t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: ABI Brachial BP R/L t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Riker-SAS Scale t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 15/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Pain Location t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Temp. Site t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd
id: TF Residual t0: [08:00:00 15/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 25 vu: ml id: TF Residual t0: [08:00:00 15/02/2016] el: 2 ai: 128 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [08:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [08:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 6 vu: ml
id: GI Prophylaxis t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Angio Appearance #1 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLE Temp/Color t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Bowel Sounds t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 628 n1: 628 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: ETT Position Change t0: [09:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Oral Care t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: HOB Measurement t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: Pt./Family Informed t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#1 Type/Site t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd
id: Eye Opening t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: Activity t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Assistance Device t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Turn t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Verbal Response t0: [08:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Service Type t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: Arterial BP t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 15/02/2016] 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: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Atr Sens Thresh mV t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Atr Stim Thresh mA t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Atrial Sens mV/mA t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pacemaker Mode t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pacemaker Type t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pacer Rate t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pacer Wire Condition t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Atrial Sens/Capture t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: AtrialmA/Sensitivity t0: [10:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Atr Stim Thresh mA t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: V-mA st: NotStopd id: Atrial Sens mV/mA t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: GI#1 Intub Site t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: GI Intub #1/Site t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Angio Appearance #1 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pacemaker Mode t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Demand st: NotStopd id: Pacemaker Type t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transvenous st: NotStopd id: Pacer Rate t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Arterial BP t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 15/02/2016] 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: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: AtrialmA/Sensitivity t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 st: NotStopd id: Augmented Diastole t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Urine Source t0: [09:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 15/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [10:00:00 15/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [09:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [09:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [10:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [10:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Midazolam t0: [10:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl t0: [10:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 15/02/2016] 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: [11:00:00 15/02/2016] 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: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: calprevflg t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 15/02/2016] el: 0 cg: CoWker cu: CCU v1: 204 n1: 204 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 594 n1: 594 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 15/02/2016] 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: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Systolic Unloading t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: calprevflg t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [12:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [12:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [12:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 15/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Abdominal Assessment t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP Mean t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg st: NotStopd id: Reason For Restraint t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Temp. Site t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: Verbal Response t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Fentanyl t0: [13:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: LUE Temp/Color t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLE Temp/Color t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Activity t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Reason For Restraint t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Side Rails t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [13:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: calprevflg t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [14:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [14:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [14:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: calprevflg t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 8.48 n1: 8.48 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 618 n1: 618 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 15/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: INV Line#1 D/C Date t0: [16:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [16:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [16:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [16:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [16:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [16:00:00 15/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 15/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#1 D/C Date t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#4 Type/Site t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Insert Date t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Site/Size t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Assistance Device t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Sputum Color/Consist t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [14:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: INV#1 Tubing Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [10:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: calprevflg t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 15/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [16:00:00 15/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 25 vu: ml id: TF Residual t0: [16:00:00 15/02/2016] el: 2 ai: 128 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Gastric Meds t0: [16:00:00 15/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [16:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [16:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [16:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#3 Zero/Cal t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Zero/Cal t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV Site Appear #1 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LUE Temp/Color t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Source t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [15:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 15/02/2016] el: 0 cg: CoWker cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: IABP setting t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 15/02/2016] 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: [17:00:00 15/02/2016] 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: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Respiratory Rate t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: SpO2 t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [17:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: IABP setting t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Care t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Augmented Diastole t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Systolic Unloading t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: calprevflg t0: [18:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [18:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [18:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [18:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.8 n1: 29.8 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: IABP setting t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 15/02/2016] 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: [19:00:00 15/02/2016] 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: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: SpO2 t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: calprevflg t0: [19:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd
id: PT t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 53.8 n1: 53.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [18:00:00 15/02/2016] el: 0 cg: 1663 cu: CCU v1: 53.8 n1: 53.8 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.3 n1: 8.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 603 n1: 603 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 15/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 15/02/2016] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: LUE Temp/Color t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: Augmented Diastole t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Reason For Restraint t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Side Rails t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [20:00:00 15/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 80 vu: ml id: TF Residual t0: [20:00:00 15/02/2016] el: 2 ai: 128 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [20:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [20:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [20:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Service Type t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: IABP setting t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Oral Care t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 15/02/2016] 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 15/02/2016] 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 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: SpO2 t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Systolic Unloading t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: % st: NotStopd id: Arterial BP #2 t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: calprevflg t0: [21:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pupil Response R/L t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd
id: Service Type t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: IABP setting t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 15/02/2016] 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: [22:00:00 15/02/2016] 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: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: SpO2 t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: calprevflg t0: [22:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 15/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 15/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [22:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [22:00:00 15/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 15/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 15/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [22:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 15/02/2016] el: 0 cg: CoWker cu: CCU v1: 154 n1: 154 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: IABP setting t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Activity t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 15/02/2016] 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: [23:05:00 15/02/2016] 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: [23:00:00 15/02/2016] 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: [23:05:00 15/02/2016] 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: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: BAEDP t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Arterial BP #2 t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: Back Care t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:05:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:05:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:05:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:05:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: IABP setting t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 15/02/2016] 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: [23:15:00 15/02/2016] 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: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: SpO2 t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Arterial BP #2 t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: calprevflg t0: [23:15:00 15/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:15:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:15:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:15:00 15/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: IABP setting t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: Arterial BP #2 t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Temp. Site t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 16/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [00:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [00:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [00:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.41 n1: 8.41 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 599 n1: 599 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 16/02/2016] 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: [01:30:00 16/02/2016] 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 16/02/2016] 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: [01:30:00 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: SpO2 t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: % st: NotStopd id: Arterial BP #2 t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: calprevflg t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:30:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [01:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:30:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:30:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml id: Tube Feeding t0: [01:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [01:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [01:30:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 27.5 vu: ml id: Tube Feeding t0: [01:30:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 27.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:30:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [01:30:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:30:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1 vu: ml
id: ABI (L) t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.08333 n1: 1.08333 u1: . st: NotStopd id: ABI (R) t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.05 n1: 1.05 u1: . st: NotStopd id: ABI Ankle BP R/L t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 130 n2: 130 u2: mmHg st: NotStopd id: ABI Brachial BP R/L t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd
id: Service Type t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: IABP setting t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Activity t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Respiratory Rate t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: SpO2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 16/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [02:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: % st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: IABP setting t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] 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 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Respiratory Rate t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: SpO2 t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: % st: NotStopd id: Arterial BP #2 t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: calprevflg t0: [03:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Position Change t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Dsg Change t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Dsg Change t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Reason For Restraint t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#3 Tubing Change t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Pt./Family Informed t0: [00:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: No Spon Resp st: NotStopd id: ETT Mark/Location t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: FiO2 Set t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 8.39 n1: 8.39 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: Arterial BP #2 t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 16/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 50 vu: ml id: TF Residual t0: [00:00:00 16/02/2016] el: 2 ai: 128 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 35 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 49 vu: ml id: Tube Feeding t0: [05:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 192.5 vu: ml id: Tube Feeding t0: [05:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 192.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 17.5 vu: ml id: Urine Out Foley t0: [05:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [05:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Pupil Size R/L t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Art.pH t0: [04:51:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:51:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:51:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:51:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:51:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:51:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd id: WBC t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd id: Hematocrit t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.9 n1: 30.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 231 n1: 231 rs: Final st: NotStopd id: RBC t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.48 n1: 3.48 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd
id: Temp. Site t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: HOB t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Sputum Color/Consist t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: HOB Measurement t0: [05:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd
id: BUN t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 16/02/2016] 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: [06:00:00 16/02/2016] 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: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: Arterial BP #2 t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [06:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [06:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [06:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 30.5 cv: 1567 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 30.5 cv: 2397 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 660 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 2230 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 30.5 cv: 17 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 30.5 cv: 4043.25 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 30.5 cv: 30.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 2380 ac: 24 ap: carryForward re: 0
id: PT t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: INR t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 66 n1: 66 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: PTT(22-35) t0: [04:34:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 66 n1: 66 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 63.1579 n1: 63.1579 u1: units st: NotStopd id: ETT Mark/Location t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 63.1579 n1: 63.1579 u1: units st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.38 n1: 0.38 u1: L st: NotStopd id: Sputum Color/Consist t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 16/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Heart Rate t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Reason For Restraint t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: % st: NotStopd id: Arterial BP #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Tube Feeding t0: [08:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml id: Tube Feeding t0: [08:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: SpO2 t0: [08:43:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:43:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:43:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Care t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Guaiac/ph t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: GI#1 Tube PlaceCheck t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: IABP Mean t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Activity t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Augmented Diastole t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg st: NotStopd id: Radiologic Study t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Side Rails t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: Arterial BP #2 t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Therapeutic Bed t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Back Care t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: TF Residual t0: [10:00:00 16/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 170 vu: ml id: TF Residual t0: [10:00:00 16/02/2016] el: 2 ai: 128 cg: RN cu: CCU vo: 170 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Gastric Meds t0: [10:00:00 16/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [10:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 110 vu: ml st: Stopped id: Tube Feeding t0: [10:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vo: 110 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [09:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [06:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 16/02/2016] el: 0 cg: CoWker cu: CCU v1: 222 n1: 222 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.8 st: NotStopd id: Airway Size t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.7 n1: 7.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Ectopy Type t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assisted Systole t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] 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: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Reason For Restraint t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Side Rails t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Systolic Unloading t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Temp. Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Verbal Response t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [08:00:00 16/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [10:00:00 16/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [11:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
pi: 4321154 hi: 18838 t0: [15:00:00 16/02/2016] tf: [12:00:00 20/02/2016] mn: CefePIME pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 4, 16 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Type t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Family Communication t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: IABP setting t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: Arterial BP t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Assisted Systole t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Augmented Diastole t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Reason For Restraint t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: BAEDP t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Side Rails t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: Arterial BP #2 t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: calprevflg t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fentanyl t0: [13:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Diastolic Unloading t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP Mean t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP setting t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 D/C Date t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Type/Site t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Zero/Cal t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3InsertDate t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 WaveformAppear t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Assisted Systole t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Dsg Change t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Augmented Diastole t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: BAEDP t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Systolic Unloading t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Tubing Change t0: [15:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Riker-SAS Scale t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 D/C Date t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV Line#4 Type/Site t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Dsg Change t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Respiratory Rate t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Arterial BP #2 t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: INV#3 Tubing Change t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: INV#4 Cap Change t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: calprevflg t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [15:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4321862 hi: 18838 t0: [18:00:00 16/02/2016] tf: [17:00:00 17/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4321952 hi: 18838 t0: [22:00:00 16/02/2016] tf: [09:00:00 17/02/2016] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4321953 hi: 18838 t0: [20:00:00 16/02/2016] tf: [08:00:00 18/02/2016] mn: Carvedilol 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
id: Fingerstick Glucose t0: [17:00:00 16/02/2016] el: 0 cg: CoWker cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Diff to Palpate st: NotStopd id: Ectopy Type t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Arterial BP #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP #2 t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [17:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [16:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 430 n1: 430 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Ectopy Type t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Oral Care t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Reason For Restraint t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Arterial BP #2 t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: INV#4 Cap Change t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Gastric Meds t0: [18:00:00 16/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [18:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vu: ml st: Restart id: Tube Feeding t0: [18:00:00 16/02/2016] el: 2 ai: -1 cg: RN cu: CCU vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [18:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [18:25:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:25:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:25:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:25:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:25:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:25:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
pi: 4322293 hi: 18838 t0: [20:00:00 16/02/2016] tf: [18:00:00 02/03/2016] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] 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: [19:00:00 16/02/2016] 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: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Arterial BP #2 t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: calprevflg t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml
id: Fentanyl t0: [19:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB Measurement t0: [20:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: TF Residual t0: [20:00:00 16/02/2016] el: 1 ai: 128 cg: -1 cu: CCU vo: 0 st: D/C'd id: TF Residual t0: [20:00:00 16/02/2016] el: 2 ai: 128 cg: -1 cu: CCU vo: 0 st: D/C'd id: Tube Feeding t0: [20:00:00 16/02/2016] el: 1 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd id: Tube Feeding t0: [20:00:00 16/02/2016] el: 2 ai: -1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: ETT Mark/Location t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 6.6 n1: 6.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: 512 n1: 512 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 16/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Family Communication t0: [19:30:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Arterial BP #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: INV#4 Cap Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 28 vu: ml id: Gastric Meds t0: [20:00:00 16/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 60 vu: ml id: GT Flush t0: [20:00:00 16/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: Gastric Oral Gastric t0: [18:30:00 16/02/2016] el: 2 cg: RN cu: CCU vu: ml es: Large id: Gastric Oral Gastric t0: [20:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: carryForward re: 0 id: PO/Gastric In Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU cv: 170 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] 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 16/02/2016] 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 16/02/2016] 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 16/02/2016] 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 16/02/2016] 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 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 16/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [21:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 16/02/2016] el: 0 cg: CoWker cu: CCU v1: 184 n1: 184 rs: Manual st: NotStopd
id: KneeImmobilizer/Loc t0: [23:00:00 16/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] 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: [23:00:00 16/02/2016] 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: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 16/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 16/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [23:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Low Intermittent st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#4 Type/Site t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: RLE Temp/Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#4 Cap Change t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: ETT Mark/Location t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 584 n1: 584 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Temp. Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [00:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [01:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [01:15:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:15:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:15:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:15:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:15:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 129 n1: 129 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:15:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: Gastric Meds t0: [01:00:00 17/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 60 vu: ml id: GT Flush t0: [01:00:00 17/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Gastric Oral Gastric t0: [02:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml id: Gastric Emesis t0: [02:00:00 17/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Fentanyl t0: [02:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: carryForward re: 0 id: PO/Gastric In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 180 cv: 330 ac: 24 ap: none re: 0
id: FiO2 Set t0: [02:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: PEEP Set t0: [02:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Respiratory Rate Set t0: [02:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [02:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [02:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: HOB t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#4 Type/Site t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: RLE Temp/Color t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#4 Cap Change t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: INV#4 Tubing Change t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: Therapeutic Bed t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: Service Type t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [03:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:26:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:26:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:26:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:26:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:26:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 195 n1: 195 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:26:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.8 n1: 20.8 rs: Final st: NotStopd id: WBC t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.8 n1: 20.8 rs: Final st: NotStopd id: Hematocrit t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.2 n1: 31.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 242 n1: 242 rs: Final st: NotStopd id: RBC t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.56 n1: 3.56 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.8 n1: 20.8 rs: Final st: NotStopd
id: PT t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 54.5 n1: 54.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 54.5 n1: 54.5 rs: Final st: NotStopd
id: BUN t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: Magnesium t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: HOB t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 17/02/2016] 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: [04:00:00 17/02/2016] 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: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#4 Cap Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [04:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 67.0391 n1: 67.0391 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 67.0391 n1: 67.0391 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 0.358 n1: 0.358 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: 551 n1: 551 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 17/02/2016] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd
id: Urine Out Foley t0: [04:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Sputum Color/Consist t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [05:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [04:00:00 17/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Less Restrict Meas. t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Family Communication t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Heart Rate t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] 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: [06:00:00 17/02/2016] 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: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Pt./Family Informed t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 17/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 17/02/2016] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [06:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 72 cv: 847.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 252 cv: 1177.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 160 cv: 160 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 160 cv: 2195 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 92 cv: -1137.5 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 92 cv: 2905.75 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 92 cv: 92 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 160 cv: 2315 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 516 n1: 516 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:23:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4323613 hi: 18838 t0: [09:00:00 17/02/2016] tf: [08:00:00 18/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Position Change t0: [08:24:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd
id: Service Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 17/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 17/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4323678 hi: 18838 t0: [20:00:00 17/02/2016] tf: [12:00:00 17/02/2016] mn: Lisinopril 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
id: ETT Mark/Location t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 447 n1: 447 u1: ml/B st: NotStopd id: Ventilator Mode t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [10:28:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Care t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Position t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Radiologic Study t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Abdominal Xray st: NotStopd id: Radiologic Study t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CT scan st: NotStopd id: Reason For Restraint t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:12:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: Gastric Meds t0: [09:00:00 17/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 40 vu: ml id: Gastric Meds t0: [10:30:00 17/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 17/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 450 vu: ml id: Urine Out Foley t0: [11:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 450 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 17/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [10:12:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [10:12:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Heparin t0: [10:12:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Glucose t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 174 n1: 174 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 86 n1: 86 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:38:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 174 n1: 174 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [12:00:00 17/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Heart Rate t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #4 Site/Size t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] 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: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Urine Source t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml
id: Heparin t0: [12:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 424 n1: 424 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4324350 hi: 18838 t0: [10:00:00 17/02/2016] tf: [08:00:00 18/02/2016] mn: Lisinopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Ectopy Type t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [13:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 502 n1: 502 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [14:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Ectopy Type t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Procedures st: NotStopd id: Family Communication t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #4 Insert Date t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: IV Site Appear #4 t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 17/02/2016] el: 1 ai: 190 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [12:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [14:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 17/02/2016] el: 1 ai: 198 cg: RN cu: CCU vu: ml
id: Heparin t0: [14:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4324953 hi: 18838 t0: [16:00:00 17/02/2016] tf: [00:00:00 18/02/2016] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4324954 hi: 18838 t0: [16:00:00 17/02/2016] tf: [01:00:00 18/02/2016] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4324955 hi: 18838 t0: [16:00:00 17/02/2016] tf: [01:00:00 18/02/2016] mn: Midazolam HCl pt: Unit Dose st: Discontinued rt: IV fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours
id: Neg Insp Force(>-25) t0: [15:10:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: . st: NotStopd
id: ABI (L) t0: [16:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI (R) t0: [16:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI Ankle BP R/L t0: [16:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ABI Brachial BP R/L t0: [16:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: ETT Mark/Location t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 11.3 n1: 11.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:29:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [16:00:00 17/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Heart Rate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP Mean t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: Urine Out Foley t0: [16:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Heparin t0: [16:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 17/02/2016] el: 0 cg: CoWker cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: IV #1 Reason DC'D t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Routine Change st: NotStopd id: Risk for Falls t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#4 Type/Site t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Type/Site t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4InsertDate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: IV #1 D/C Date t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Insert Date t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Insert Date t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: IV #4 Site/Size t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Dsg Change t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] 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: [18:00:00 17/02/2016] 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: [19:00:00 17/02/2016] 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: [17:00:00 17/02/2016] 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: [18:00:00 17/02/2016] 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: [19:00:00 17/02/2016] 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: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Cap Change t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [16:00:00 17/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 17/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 17/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 17/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 17/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [17:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml 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: IV #1 Reason DC'D t0: [20:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [20:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [20:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [20:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [20:00:00 17/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Packed RBC's t0: [20:00:00 17/02/2016] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd id: Cath Lab Intake t0: [20:00:00 17/02/2016] el: 2 ai: 190 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 17/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Arterial BP t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Radiologic Study t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: XRAY st: NotStopd id: Reason For Restraint t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Insulin Guideline t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: Urine Out Foley t0: [20:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Heparin t0: [20:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 396 n1: 396 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 17/02/2016] 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: [20:30:00 17/02/2016] 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: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [20:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:30:00 17/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Propofol t0: [20:30:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [20:30:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Rectal Tube t0: [23:00:00 17/02/2016] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4326480 hi: 18838 t0: [00:00:00 18/02/2016] tf: [23:00:00 18/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] 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: [22:45:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] 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: [22:45:00 17/02/2016] 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 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:45:00 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: MRI st: NotStopd id: Respiratory Rate t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 42 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:45:00 17/02/2016] el: 1 ai: 199 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Propofol t0: [21:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [22:45:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Propofol t0: [23:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [21:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:45:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Arterial BP t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#4 Type/Site t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#4 WaveformAppear t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: RLL Lung Sounds t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Removed x 5 Mins t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Type t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 rs: Manual st: NotStopd id: Bowel Sounds t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 17/02/2016] 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: [23:15:00 17/02/2016] 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: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [23:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [23:15:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 17/02/2016] 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: [23:45:00 17/02/2016] 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: [23:30:00 17/02/2016] 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: [23:45:00 17/02/2016] 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: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [23:30:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:45:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: LUE Temp/Color t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLE Temp/Color t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd
id: TF Residual t0: [23:00:00 17/02/2016] el: 2 ai: 128 cg: RN cu: CCU vo: 0 vu: ml id: Gastric Meds t0: [23:00:00 17/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 120 vu: ml id: GT Flush t0: [23:00:00 17/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 60 vu: ml
id: ETT Mark/Location t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 447 n1: 447 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] 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: [00:30:00 18/02/2016] 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 18/02/2016] 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: [00:30:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [00:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [00:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [00:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Topic #1 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Restraint Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [00:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 18/02/2016] el: 1 ai: 199 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4326656 hi: 18838 t0: [02:00:00 18/02/2016] tf: [16:00:00 20/02/2016] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4326657 hi: 18838 t0: [02:00:00 18/02/2016] tf: [16:00:00 20/02/2016] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4326658 hi: 18838 t0: [02:00:00 18/02/2016] tf: [11:00:00 26/02/2016] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4326659 hi: 18838 t0: [02:00:00 18/02/2016] tf: [19:00:00 21/02/2016] mn: Midazolam HCl pt: Unit Dose st: Discontinued rt: IV fr: Q2-4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] 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: [01:15:00 18/02/2016] 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: [01:30:00 18/02/2016] 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 18/02/2016] 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: [01:15:00 18/02/2016] 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: [01:30:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [01:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Heparin t0: [01:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:45:00 18/02/2016] 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: [01:45:00 18/02/2016] 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: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:45:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Midazolam t0: [01:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#4 Type/Site t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Reason For Restraint t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: In-Line Sx Change t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Back Care t0: [01:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [01:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [02:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.875 vu: ml
id: Fentanyl t0: [03:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#4 Type/Site t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#4 Dsg Change t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Pupil Response R/L t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Pt./Family Informed t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Mobility t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Nutrition t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden Score t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd id: Braden SensoryPercep t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: RSBI (<100) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 67.0732 n1: 67.0732 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 67.0732 n1: 67.0732 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.328 n1: 0.328 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 556 n1: 556 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] 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: [04:00:00 18/02/2016] 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: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Temp. Site t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Ionized Calcium t0: [04:22:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.12 n1: 1.12 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 23.8 n1: 23.8 rs: Final st: NotStopd id: WBC t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 23.8 n1: 23.8 rs: Final st: NotStopd id: Hematocrit t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.8 n1: 30.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 266 n1: 266 rs: Final st: NotStopd id: RBC t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 23.8 n1: 23.8 rs: Final st: NotStopd
id: PT t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: INR t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 65.7 n1: 65.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: PTT(22-35) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 65.7 n1: 65.7 rs: Final st: NotStopd
id: BUN t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:52:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: calprevflg t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [05:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Risk for Falls t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 18/02/2016] 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: [05:30:00 18/02/2016] 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: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] 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: [06:00:00 18/02/2016] 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: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: In-Line Sx Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: calprevflg t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [06:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 81 cv: 2386.88 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 81 cv: 2506.88 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 815 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: -19 cv: 1691.88 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: -19 cv: 4597.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: -19 cv: -19 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 815 ac: 24 ap: none re: 0
id: Cough Reflex t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Angio Appearance #1 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic st: NotStopd id: Motor Response t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Responds to Stimuli t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Urine Color/Appear t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: ETT Mark/Location t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Minute Volume(Obser) t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 382 n1: 382 u1: ml/B st: NotStopd id: Ventilator Type t0: [06:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 18/02/2016] 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: [06:30:00 18/02/2016] 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: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [06:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1 n1: 12.1 u1: L/min st: NotStopd id: PEEP Set t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 595 n1: 595 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [07:46:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Neg Insp Force(>-25) t0: [07:49:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: . st: NotStopd
pi: 4327185 hi: 18838 t0: [09:00:00 18/02/2016] tf: [00:00:00 23/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4327220 hi: 18838 t0: [20:00:00 18/02/2016] tf: [10:00:00 19/02/2016] mn: Carvedilol 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: 4327221 hi: 18838 t0: [10:00:00 18/02/2016] tf: [09:00:00 19/02/2016] mn: Lisinopril 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: 4327222 hi: 18838 t0: [09:00:00 18/02/2016] tf: [08:00:00 19/02/2016] 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: 4327223 hi: 18838 t0: [09:00:00 18/02/2016] tf: [08:00:00 19/02/2016] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4327224 hi: 18838 t0: [09:00:00 18/02/2016] tf: [16:00:00 18/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Angio Appearance #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic st: NotStopd id: Motor Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] 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: [08:00:00 18/02/2016] 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: [07:00:00 18/02/2016] 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: [08:00:00 18/02/2016] 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: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.2241 n1: 14.2241 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 57 n1: 57 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [08:12:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Urine Out Foley t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: PEEP Set t0: [08:52:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Service Type t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] 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: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [09:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4327864 hi: 18838 t0: [12:00:00 18/02/2016] tf: [11:00:00 19/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Expired rt: IV BOLUS fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4327865 hi: 18838 t0: [12:00:00 18/02/2016] tf: [18:00:00 18/02/2016] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 6 di: Hours xu: Enter on Label pi: 4327866 hi: 18838 t0: [12:00:00 18/02/2016] tf: [06:00:00 19/02/2016] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 18 di: Hours xu: Enter on Label
id: Service Type t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rate t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rate t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:55:00 18/02/2016] 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: [10:00:00 18/02/2016] 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: [10:05:00 18/02/2016] 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: [10:10:00 18/02/2016] 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: [10:15:00 18/02/2016] 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: [10:20:00 18/02/2016] 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: [10:25:00 18/02/2016] 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: [10:30:00 18/02/2016] 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: [10:35:00 18/02/2016] 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: [10:40:00 18/02/2016] 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: [10:45:00 18/02/2016] 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: [10:50:00 18/02/2016] 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: [10:55:00 18/02/2016] 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: [11:00:00 18/02/2016] 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: [11:05:00 18/02/2016] 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: [09:55:00 18/02/2016] 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: [10:00:00 18/02/2016] 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: [10:05:00 18/02/2016] 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: [10:10:00 18/02/2016] 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: [10:15:00 18/02/2016] 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: [10:20:00 18/02/2016] 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: [10:25:00 18/02/2016] 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: [10:30:00 18/02/2016] 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: [10:35:00 18/02/2016] 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: [10:40:00 18/02/2016] 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: [10:45:00 18/02/2016] 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: [10:50:00 18/02/2016] 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: [10:55:00 18/02/2016] 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: [11:00:00 18/02/2016] 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: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Respiratory Rate t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:50:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:05:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml st: Stopped id: Urine Out Foley t0: [11:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml st: Stopped
id: Fentanyl t0: [09:55:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:05:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:10:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:20:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:35:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:40:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:50:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:55:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:05:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:55:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:05:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:10:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:20:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:35:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:40:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:50:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:55:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:05:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:55:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:05:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:10:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:20:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:35:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:40:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:50:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:55:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:05:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [11:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml
id: Ectopy Frequency t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rhythm t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 168 n1: 168 rs: Manual st: NotStopd
id: Service Type t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 18/02/2016] 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: [11:45:00 18/02/2016] 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: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 575 n1: 575 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:53:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CCU am: 600 du: mgmin rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Reflex t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [11:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic st: NotStopd id: Motor Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] 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: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:45:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 100 vu: ml nb: 1
id: Service Type t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Precautions t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:25:00 18/02/2016] 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: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Amiodarone t0: [12:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] 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: [13:20:00 18/02/2016] 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: [13:25:00 18/02/2016] 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: [13:30:00 18/02/2016] 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: [13:35:00 18/02/2016] 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: [13:40:00 18/02/2016] 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: [13:45:00 18/02/2016] 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: [14:00:00 18/02/2016] 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 18/02/2016] 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: [13:20:00 18/02/2016] 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: [13:25:00 18/02/2016] 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: [13:30:00 18/02/2016] 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: [13:35:00 18/02/2016] 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: [13:40:00 18/02/2016] 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: [13:45:00 18/02/2016] 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: [14:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:25:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:35:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:40:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:45:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [14:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [13:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:20:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:35:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:40:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:20:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:35:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:40:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:20:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:25:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:35:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:40:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Hematocrit t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: SaO2 t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 18/02/2016] 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: [15:00:00 18/02/2016] 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: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] 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: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:30:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [15:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [13:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [14:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [14:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [15:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:30:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: CaO2 t0: [15:01:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.3519 n1: 12.3519 u1: ml/dl st: NotStopd id: WBC t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Hematocrit t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 27.8 n1: 27.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 285 n1: 285 rs: Final st: NotStopd id: RBC t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.08 n1: 3.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd
id: BUN t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd id: Potassium t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd
id: PT t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: INR t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 37.6 n1: 37.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: PTT(22-35) t0: [14:38:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 37.6 n1: 37.6 rs: Final st: NotStopd
pi: 4328761 hi: 18838 t0: [17:00:00 18/02/2016] tf: [16:00:00 25/02/2016] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4328838 hi: 18838 t0: [17:00:00 18/02/2016] tf: [16:00:00 19/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4328857 hi: 18838 t0: [20:00:00 18/02/2016] tf: [12:00:00 19/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 dt: 7 di: Days xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic st: NotStopd id: Motor Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 18/02/2016] el: 0 cg: CoWker cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] 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: [17:00:00 18/02/2016] 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: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml st: Stopped id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [17:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [17:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Eye Care t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: In-Line Sx Change t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Back Care t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: ETT Mark/Location t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.2 n1: 7.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 682 n1: 682 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 22 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4329207 hi: 18838 t0: [19:00:00 18/02/2016] tf: [18:00:00 19/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] 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: [19:00:00 18/02/2016] 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: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [19:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 400 n1: 400 st: NotStopd id: Ve High t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 648 n1: 648 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Service Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] 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: [20:15:00 18/02/2016] 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 18/02/2016] 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: [20:15:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Significant Events t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 100.0ml t0: [18:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [19:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [20:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [20:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1 vu: ml
id: Amiodarone t0: [20:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [20:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:15:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] 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 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Gastric Meds t0: [21:00:00 18/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 60 vu: ml id: GT Flush t0: [21:00:00 18/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.5 vu: ml
id: Amiodarone t0: [21:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 18/02/2016] el: 0 cg: CoWker cu: CCU v1: 188 n1: 188 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] 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: [22:00:00 18/02/2016] 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: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [22:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] 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: [23:00:00 18/02/2016] 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: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 18/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 18/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 3 vu: ml
id: Amiodarone t0: [23:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pan Cultured st: NotStopd
id: ETT Mark/Location t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 546 n1: 546 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Capillary Refill R/L t0: [00:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Pain Assess Method t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Cough Reflex t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Eye Opening t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Follows Commands t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GCS Total t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Low Intermittent v2: Bilious st: NotStopd id: Gag Reflex t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Insert Date t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Insert Date t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: IV #4 Site/Size t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Level of Conscious t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Angio Appearance #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #1 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Arterial BP t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Response R/L t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Responds to Stimuli t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Insulin Guideline t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Mobility t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Nutrition t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden Score t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd id: Braden SensoryPercep t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.5 vu: ml
id: Amiodarone t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: D5W 100.0ml t0: [22:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [01:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 19/02/2016] 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: [01:30:00 19/02/2016] 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: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [01:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 11.25 vu: ml id: Urine Out Foley t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 3.5 vu: ml
id: Service Type t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:10:00 19/02/2016] 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: [02:10:00 19/02/2016] 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: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [02:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [02:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 19/02/2016] 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: [03:00:00 19/02/2016] 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: [03:30:00 19/02/2016] 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: [02:30:00 19/02/2016] 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: [03:00:00 19/02/2016] 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: [03:30:00 19/02/2016] 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: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [02:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 26 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.5 vu: ml
id: Amiodarone t0: [02:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [03:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 35 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] 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: [04:00:00 19/02/2016] 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: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3.5 vu: ml id: Urine Out Foley t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.2 vu: ml
id: Amiodarone t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 60.6796 n1: 60.6796 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 60.6796 n1: 60.6796 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.412 n1: 0.412 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 601 n1: 601 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Tank A psi. t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd
id: Cuff Pressure-Airway t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Reflex t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Gag Reflex t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Hand v2: 22 gauge st: NotStopd id: Activity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Angio Appearance #1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.5 vu: ml
id: Amiodarone t0: [05:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 19/02/2016] 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: [05:30:00 19/02/2016] 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: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:30:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:30:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:30:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:30:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [05:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [05:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:30:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 0.75 vu: ml
id: Amiodarone t0: [05:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Art.pH t0: [06:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Code Status t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] 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: [06:00:00 19/02/2016] 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: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [06:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 0.75 vu: ml
id: Amiodarone t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: Urine Out Foley t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: WBC (4-11,000) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: WBC t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: Hematocrit t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 321 n1: 321 rs: Final st: NotStopd id: RBC t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.26 n1: 3.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Heart Rate t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 120 n2: 120 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] 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: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Pt./Family Informed t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 19/02/2016] el: 1 ai: 198 cg: RN cu: CCU vo: 1.5 vu: ml
id: Amiodarone t0: [07:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Calcium t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 157 n1: 157 rs: Final st: NotStopd id: Magnesium t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: BUN (6-20) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 157 n1: 157 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: INV Line#2 Type/Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd
id: Service Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 55 vu: ml
id: PT t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 73.5 n1: 73.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [05:51:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 73.5 n1: 73.5 rs: Final st: NotStopd
id: IV #4 Reason DC'D t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Insert Date t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Site/Size t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #4 t0: [08:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: ETT Mark/Location t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: GI Prophylaxis t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLE Temp/Color t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Gastric Meds t0: [08:00:00 19/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 35 vu: ml id: GT Flush t0: [08:00:00 19/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 60 vu: ml
id: Angio Appearance #1 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pupil Response R/L t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd
id: Cough Reflex t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Pt./Family Informed t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: IV #2 Reason DC'D t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Routine Change st: NotStopd id: IV #2 D/C Date t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd
pi: 4331172 hi: 18838 t0: [10:00:00 19/02/2016] tf: [10:00:00 19/02/2016] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [09:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 43 vu: ml
id: Fentanyl t0: [09:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4331225 hi: 18838 t0: [11:00:00 19/02/2016] tf: [10:00:00 20/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4331226 hi: 18838 t0: [16:00:00 19/02/2016] tf: [10:00:00 20/02/2016] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4331227 hi: 18838 t0: [20:00:00 19/02/2016] tf: [22:00:00 19/02/2016] mn: Carvedilol 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: 4331228 hi: 18838 t0: [11:00:00 19/02/2016] tf: [10:00:00 20/02/2016] mn: Bisacodyl pt: Unit Dose st: Expired rt: PR fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Service Type t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] 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: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [08:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Amiodarone t0: [09:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [10:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Sputum Color/Consist t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: D5W 100.0ml t0: [11:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml
id: Service Type t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:25:00 19/02/2016] 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: [11:30:00 19/02/2016] 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: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [11:25:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:25:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:25:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:25:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Gastric Meds t0: [12:00:00 19/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 330 vu: ml id: GT Flush t0: [12:00:00 19/02/2016] el: 1 ai: 113 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 520 vu: ml
id: Service Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pupil Response R/L t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Pt./Family Informed t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: INV Line#2 Type/Site t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 4 n2: 4 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd
pi: 4331669 hi: 18838 t0: [10:00:00 19/02/2016] tf: [16:00:00 19/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 dt: 7 di: Days xv: 36 xu: Hours
id: ETT Mark/Location t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 691 n1: 691 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Parameters Checked t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:05:00 19/02/2016] 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: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [12:05:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:10:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:05:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:05:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [12:05:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:10:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#4 Type/Site t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4 Zero/Cal t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4InsertDate t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4SiteAppear t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 WaveformAppear t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 Dsg Change t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 Cap Change t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 Tubing Change t0: [13:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4331874 hi: 18838 t0: [14:00:00 19/02/2016] tf: [16:00:00 19/02/2016] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Service Type t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [13:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Fentanyl t0: [13:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#1 WaveformAppear t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 13 n2: 13 st: NotStopd id: IV #3 Site/Size t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Redness st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Cap Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd
id: CVP t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd
id: Dorsal PedPulse R/L t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Gag Reflex t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Fingerstick Glucose t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 211 n1: 211 rs: Manual st: NotStopd
id: Service Type t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Arterial BP t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Management t0: [12:00:00 19/02/2016] el: 1 cg: RN cu: CCU v1: Repositioned v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [14:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 155 vu: ml
id: Angio Appearance #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd
id: Art.pH t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.0635 n1: 13.0635 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [14:24:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml nb: 1 id: Urine Out Foley t0: [15:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Amiodarone t0: [15:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: HOB t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: PT t0: [14:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: INR t0: [14:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [14:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 80.4 n1: 80.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [14:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [14:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.1 n1: 16.1 rs: Final st: NotStopd id: PTT(22-35) t0: [14:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 80.4 n1: 80.4 rs: Final st: NotStopd
pi: 4332229 hi: 18838 t0: [17:00:00 19/02/2016] tf: [14:00:00 20/02/2016] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION dt: 1 di: Doses xu: Enter on Label pi: 4332230 hi: 18838 t0: [20:00:00 19/02/2016] tf: [16:00:00 20/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 dt: 4 di: Days xv: 36 xu: Hours pi: 4332402 hi: 18838 t0: [17:00:00 19/02/2016] tf: [16:00:00 20/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 11.5 n1: 11.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [16:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [16:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Sputum Color/Consist t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: IV #3 Reason DC'D t0: [17:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Insert Date t0: [17:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [17:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [17:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Cough Reflex t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Clear st: NotStopd id: Gag Reflex t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Family Communication t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: HOB t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [16:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#1 Type/Site t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Cap Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd
id: Respiratory Rate t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd
id: Service Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] 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: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml
id: Amiodarone t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 19/02/2016] el: 0 cg: CoWker cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vu: ml id: Urine Out Foley t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 520 vu: ml
id: Less Restrict Meas. t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Stool Out Stool t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small
id: HOB t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd
id: CVP t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd
id: Service Type t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:50:00 19/02/2016] 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: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:50:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [18:50:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:50:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:50:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:50:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Calcium t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
pi: 4333086 hi: 18838 t0: [21:00:00 19/02/2016] tf: [20:00:00 20/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4333087 hi: 18838 t0: [21:00:00 19/02/2016] tf: [20:00:00 20/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: GI#1 Intub Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Site #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] 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 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [20:00:00 19/02/2016] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [20:00:00 19/02/2016] el: 3 ai: 262 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 28 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Amiodarone t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: Oral Care t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: PEEP Set t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 575 n1: 575 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:30:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Follows Commands t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Gag Reflex t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Dressing #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: Pupil Response R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Responds to Stimuli t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: In-Line Sx Change t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Back Care t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Pt./Family Informed t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Tube Feeding t0: [20:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [20:00:00 19/02/2016] el: 3 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [21:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [21:00:00 19/02/2016] el: 3 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Ectopy Frequency t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Procedures t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Significant Events t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Dysrhythmia st: NotStopd
id: Service Type t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Arterial BP t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [21:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] 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: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Tube Feeding t0: [22:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [22:00:00 19/02/2016] el: 3 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Amiodarone t0: [22:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4333437 hi: 18838 t0: [20:00:00 19/02/2016] tf: [10:00:00 21/02/2016] mn: Carvedilol 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: 4333438 hi: 18838 t0: [23:00:00 19/02/2016] tf: [22:00:00 20/02/2016] mn: Carvedilol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 19/02/2016] el: 0 cg: CoWker cu: CCU v1: 170 n1: 170 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] 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: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Gastric Meds t0: [23:00:00 19/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Tube Feeding t0: [23:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [23:00:00 19/02/2016] el: 3 ai: -1 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 515 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 15 cv: 60 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 2948 ac: 24 ap: none re: 0
id: Riker-SAS Scale t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: Art.pH t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.3984 n1: 14.3984 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [23:10:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4333746 hi: 18838 t0: [01:00:00 20/02/2016] tf: [00:00:00 21/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PTT t0: [23:07:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 80.4 n1: 80.4 rs: Final st: NotStopd id: PTT(22-35) t0: [23:07:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 80.4 n1: 80.4 rs: Final st: NotStopd
id: ETT Mark/Location t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 688 n1: 688 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Angio Site #1 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: In-Line Sx Change t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [22:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [23:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: Tube Feeding t0: [00:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml st: Stopped id: Tube Feeding t0: [00:00:00 20/02/2016] el: 3 ai: -1 cg: RN cu: CCU vo: 15 vu: ml st: Stopped id: Urine Out Foley t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 15 ac: 24 ap: none re: 0
id: CVP t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd
id: Procedures t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sputum Cx st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [01:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 14 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 19/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: Stool Out Stool t0: [23:00:00 19/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [01:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Fentanyl t0: [01:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 60 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [01:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 285 cv: 1551.95 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 360 cv: 2126.95 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: estimateVol re: 0 id: Total Hourly Output t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 100 ac: 1 ap: estimateVol re: 0 id: 24h Net Body Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 260 cv: -821.05 ac: 24 ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 260 cv: 3776.57 ac: multiple days ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 260 cv: 260 ac: 1 ap: estimateVol re: 0 id: 24h Total Out t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 2948 ac: 24 ap: estimateVol re: 0
id: Pain Present t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] 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 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Fentanyl t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Angio Site #1 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Respiratory Pattern t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Color/Consist t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Hard st: NotStopd id: Stool Color/Consist t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Hard st: NotStopd id: Urine Source t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Stool Out Stool t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small
id: Service Type t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [03:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Fentanyl t0: [03:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [03:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 635 n1: 635 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Level of Conscious t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: Pupil Response R/L t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Reason For Restraint t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [04:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 450 vu: ml
id: Service Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] 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: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Respiratory Rate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Temp. Site t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: calprevflg t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [04:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Pain Present t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: WBC (4-11,000) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 22.8 n1: 22.8 rs: Final st: NotStopd id: CVP t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CaO2 t0: [04:31:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.2427 n1: 14.2427 u1: ml/dl st: NotStopd id: Code Status t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: WBC t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 22.8 n1: 22.8 rs: Final st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] 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 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature F t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Back Care t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hematocrit t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.2 n1: 31.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 397 n1: 397 rs: Final st: NotStopd id: RBC t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.52 n1: 3.52 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 22.8 n1: 22.8 rs: Final st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6.5 vu: ml id: Stool Out Stool t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Fentanyl t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [05:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: BUN t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 rs: Final st: NotStopd id: Magnesium t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: PT t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: INR t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 72.9 n1: 72.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: PTT(22-35) t0: [04:16:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 72.9 n1: 72.9 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rate t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] 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: [06:15:00 20/02/2016] 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: [06:20:00 20/02/2016] 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: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:30:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:15:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:20:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:15:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:20:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:15:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:20:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: 46 cv: 1890.75 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: 46 cv: 2095.75 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: 500 cv: 500 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: 500 cv: 3885 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: -454 cv: -1789.25 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: -454 cv: 1987.32 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: -454 cv: -454 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU pv: 500 cv: 3885 ac: 24 ap: carryForward re: 0
id: Service Type t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 20/02/2016] 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: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [06:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:30:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [06:30:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [06:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 32.2581 n1: 32.2581 u1: units st: NotStopd id: RSBI (<200) t0: [06:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 32.2581 n1: 32.2581 u1: units st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.62 n1: 0.62 u1: L st: NotStopd
id: BSA t0: [06:42:00 20/02/2016] el: 1033 cg: -1 cu: CCU v1: 2.12126 n1: 2.12126 u1: m2 id: Admit Wt t0: [06:42:00 20/02/2016] el: 1032 cg: -1 cu: CCU v1: 90.6 n1: 90.6 u1: kg id: Allergy 1 t0: [06:42:00 20/02/2016] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [06:42:00 20/02/2016] el: 1023 cg: -1 cu: CCU v1: CARDIAC ARREST id: Service t0: [06:42:00 20/02/2016] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [06:42:00 20/02/2016] el: 1034 cg: -1 cu: CCU v1: 68 n1: 68 u1: inches id: Readmission t0: [06:42:00 20/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [06:42:00 20/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [06:42:00 20/02/2016] el: 1000 cg: -1 cu: CCU v1: OTR id: Allergy 2 t0: [06:42:00 20/02/2016] el: 1021 cg: -1 cu: CCU id: Ext t0: [06:42:00 20/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [06:42:00 20/02/2016] el: 1022 cg: -1 cu: CCU
pi: 4334283 hi: 18838 t0: [08:00:00 20/02/2016] tf: [07:00:00 21/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4334284 hi: 18838 t0: [08:00:00 20/02/2016] tf: [07:00:00 21/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/02/2016] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 26 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 13 vu: ml id: Urine Out Foley t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Resp. Rate t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 730 n1: 730 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [10:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] 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: [09:15:00 20/02/2016] 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: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Significant Events t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:15:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:15:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:15:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 16.25 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:15:00 20/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 8.125 vu: ml st: Stopped id: Urine Out Foley t0: [10:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fentanyl t0: [09:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:15:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [10:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [09:15:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [10:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [09:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:15:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Position Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Intub Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: Pupil Response R/L t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Source/Amt t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: Stool Guaiac t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: In-Line Sx Change t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] 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: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [11:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: Urine Out Foley t0: [11:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Fentanyl t0: [11:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [11:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [10:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 81.5 n1: 81.5 rs: Final st: NotStopd id: PTT(22-35) t0: [10:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 81.5 n1: 81.5 rs: Final st: NotStopd
id: Heparin t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [12:00:00 20/02/2016] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/02/2016] el: 0 cg: CoWker cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/02/2016] el: 0 cg: CoWker cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [12:00:00 20/02/2016] el: 0 cg: CoWker cu: CCU v1: 149 n1: 149 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Resp. Rate t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 7 n2: 7 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 9.7 n1: 9.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 558 n1: 558 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4334984 hi: 18838 t0: [13:00:00 20/02/2016] tf: [12:00:00 21/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4334996 hi: 18838 t0: [13:00:00 20/02/2016] tf: [00:00:00 23/02/2016] mn: Meropenem pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 13, 19, 1, 7 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraints Evaluated t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Stool Guaiac t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Verbal Response t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: Urine Out Foley t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Fentanyl t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: CaO2 t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.3984 n1: 14.3984 u1: ml/dl st: NotStopd id: Potassium t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: SaO2 t0: [12:33:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Neg Insp Force(>-25) t0: [13:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: . st: NotStopd
id: Pain Present t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Service Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP Mean t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [13:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [13:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4335174 hi: 18838 t0: [15:00:00 20/02/2016] tf: [10:00:00 21/02/2016] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label
id: Service Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] 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 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: Urine Out Foley t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 720 vu: ml
id: Amiodarone t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI (<100) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Cuff Pressure-Airway t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI Not Completed t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Mark/Location t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Position Change t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Extubation Date t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: FiO2 Set t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: High Insp. Pressure t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: High Resp. Rate t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: I:E Ratio t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Size t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Type t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Inspired Gas Temp t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Intubation Date t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Low Exhaled Min Vol t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Mean Airway Pressure t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Minute Volume(Obser) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Neg Insp Force(>-25) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PEEP Set t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Apnea Time Interval t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Peak Insp. Pressure t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Plateau Pressure t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Plateau-Off t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pressure Support t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI (<200) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Spont) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Total) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Respiratory Rate Set t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tank A psi. t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tank B psi. t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Ve High t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Sensitivity-Vent t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Spon RR (Mech.) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Spon. Vt (L) (Mech.) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Obser) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Set) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Spont) t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Ventilator Mode t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Ventilator Type t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Vital Cap (>1.0)L t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Waveform-Vent t0: [15:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] 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 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Urine Out Foley t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Fentanyl t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Significant Events t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Extubated st: NotStopd id: Therapeutic Bed t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd
id: Service Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:30:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Amiodarone t0: [15:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [15:30:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Reflex t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Alarms t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: points st: NotStopd id: Gag Reflex t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Level of Conscious t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [15:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Orientation t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: Pinpoint st: NotStopd id: Responds to Stimuli t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Temp. Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Verbal Response t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd
id: TF Residual t0: [10:30:00 20/02/2016] el: 3 ai: 262 cg: RN cu: CCU vo: 0 vu: ml id: Gastric Meds t0: [08:00:00 20/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 130 vu: ml id: Stool Out Stool t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: Less Restrict Meas. t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Angio Appearance #1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLE Temp/Color t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Pt./Family Informed t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Range of Motion t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: HOB t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: Restraints Evaluated t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Skin Care t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Cap Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd
id: CVP t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: CVP t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd
id: Service Type t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] 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: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [17:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Amiodarone t0: [17:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [17:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.0466 n1: 14.0466 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [18:19:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Service Type t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Precautions t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 20/02/2016] 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 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [18:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [18:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4335710 hi: 18838 t0: [20:00:00 20/02/2016] tf: [19:00:00 21/02/2016] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PTT t0: [17:51:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 52.5 n1: 52.5 rs: Final st: NotStopd id: PTT(22-35) t0: [17:51:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 52.5 n1: 52.5 rs: Final st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 20/02/2016] el: 1 ai: 190 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 20/02/2016] 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: [20:00:00 20/02/2016] 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: [21:00:00 20/02/2016] 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: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 33 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 75 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [21:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [19:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [20:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [21:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Heparin t0: [19:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4335962 hi: 18838 t0: [22:00:00 20/02/2016] tf: [21:00:00 21/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4335963 hi: 18838 t0: [22:00:00 20/02/2016] tf: [10:00:00 21/02/2016] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.2334 n1: 14.2334 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [23:03:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Reflex t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Method t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Gag Reflex t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: Activity t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 20/02/2016] 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 20/02/2016] 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: [22:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 238 n1: 238 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: Braden Activity t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [22:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 20/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Gastric Meds t0: [21:00:00 20/02/2016] el: 1 ai: 110 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 20/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [22:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [23:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Amiodarone t0: [22:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 190 ac: 24 ap: none re: 0
id: Magnesium t0: [22:53:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [22:53:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [22:53:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:53:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Reflex t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Abdominal Assessment t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Dressing #2 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [00:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [00:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4336388 hi: 18838 t0: [03:00:00 21/02/2016] tf: [02:00:00 22/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: GI Intub #1/Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Activity t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 21/02/2016] 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: [02:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [00:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [01:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [02:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [01:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [02:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Activity t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 21/02/2016] 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 21/02/2016] 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 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [03:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Amiodarone t0: [03:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [04:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: SaO2 t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: CaO2 t0: [05:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7223 n1: 14.7223 u1: ml/dl st: NotStopd id: WBC t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: Hematocrit t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 33.1 n1: 33.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 465 n1: 465 rs: Final st: NotStopd id: RBC t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.73 n1: 3.73 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 20.6 n1: 20.6 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 21/02/2016] el: 0 cg: CoWker cu: CCU v1: 182 n1: 182 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: bath t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Care t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Abdominal Assessment t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 21/02/2016] 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: [06:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [03:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [05:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [06:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 21/02/2016] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [05:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Amiodarone t0: [05:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [06:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: 60 cv: 1383 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: 60 cv: 1778 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: 400 cv: 400 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: 400 cv: 2285 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: -340 cv: -507 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: -340 cv: 1480.32 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: -340 cv: -340 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU pv: 400 cv: 2285 ac: 24 ap: carryForward re: 0
id: BUN t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 166 n1: 166 rs: Final st: NotStopd id: Magnesium t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: ALT t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: BUN (6-20) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 166 n1: 166 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:57:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Temp. Site t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 21/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: Pinpoint st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml
id: Amiodarone t0: [08:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [09:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4337032 hi: 18838 t0: [16:00:00 21/02/2016] tf: [17:00:00 21/02/2016] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4337033 hi: 18838 t0: [20:00:00 21/02/2016] tf: [00:00:00 23/02/2016] mn: Carvedilol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4337034 hi: 18838 t0: [20:00:00 21/02/2016] tf: [15:00:00 22/02/2016] mn: Amiodarone HCl 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
id: Service Type t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] 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: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 21/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml st: Stopped
id: Amiodarone t0: [10:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [11:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [10:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4337219 hi: 18838 t0: [12:00:00 21/02/2016] tf: [11:00:00 22/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Tube Feeding t0: [11:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Pain Assess Method t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: O2 Delivery Device t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd
id: Service Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Precautions t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 202 n1: 202 rs: Manual st: NotStopd
id: Heparin t0: [12:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: Arterial BP t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Precautions t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Tube Feeding t0: [12:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [13:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml
id: Heparin t0: [13:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [13:00:00 21/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 21/02/2016] 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 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Tube Feeding t0: [14:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml
id: Heparin t0: [14:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Angio Dressing #1 t0: [15:00:00 21/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Dressing #2 t0: [15:00:00 21/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 21/02/2016] 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 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Tube Feeding t0: [15:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml
id: Heparin t0: [15:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Guaiac/ph t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Gag Reflex t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Brown st: NotStopd id: Support Systems t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Nutrition t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden Score t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Heparin t0: [16:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 21/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Temp. Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd
id: Tube Feeding t0: [16:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml
pi: 4337915 hi: 18838 t0: [22:00:00 21/02/2016] tf: [00:00:00 23/02/2016] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Potassium t0: [16:14:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:14:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Gag Reflex t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd id: HOB t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 21/02/2016] 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: [18:00:00 21/02/2016] 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: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Reason For Restraint t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#1 Cap Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Verbal Response t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: Tube Feeding t0: [18:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 60 vu: ml
id: Heparin t0: [17:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 140 ac: 24 ap: none re: 0
id: Oral Care t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
pi: 4338226 hi: 18838 t0: [20:00:00 21/02/2016] tf: [20:00:00 21/02/2016] mn: Haloperidol pt: Unit Dose st: Discontinued rt: IM fr: ONCE MR1 ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4338249 hi: 18838 t0: [21:00:00 21/02/2016] tf: [20:00:00 22/02/2016] mn: Olanzapine pt: Unit Dose st: Expired rt: PO fr: ONCE MR1 ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BSA t0: [21:00:00 21/02/2016] el: 1033 cg: -1 cu: CCU v1: 2.12126 n1: 2.12126 u1: m2 id: Admit Wt t0: [21:00:00 21/02/2016] el: 1032 cg: -1 cu: CCU v1: 90.6 n1: 90.6 u1: kg id: Allergy 1 t0: [21:00:00 21/02/2016] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [21:00:00 21/02/2016] el: 1023 cg: -1 cu: CCU v1: CARDIAC ARREST id: Service t0: [21:00:00 21/02/2016] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [21:00:00 21/02/2016] el: 1034 cg: -1 cu: CCU v1: 68 n1: 68 u1: inches id: Readmission t0: [21:00:00 21/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [21:00:00 21/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [21:00:00 21/02/2016] el: 1000 cg: -1 cu: CCU v1: OTR id: Allergy 2 t0: [21:00:00 21/02/2016] el: 1021 cg: -1 cu: CCU id: Ext t0: [21:00:00 21/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [21:00:00 21/02/2016] el: 1022 cg: -1 cu: CCU
id: Art.pH t0: [21:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: Art.pH t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.9795 n1: 14.9795 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 130 n1: 130 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: SaO2 t0: [21:49:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4338552 hi: 18838 t0: [23:00:00 21/02/2016] tf: [22:00:00 22/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4338567 hi: 18838 t0: [23:00:00 21/02/2016] tf: [00:00:00 23/02/2016] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4338568 hi: 18838 t0: [23:00:00 21/02/2016] tf: [22:00:00 22/02/2016] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 26.4 n1: 26.4 rs: Final st: NotStopd id: CaO2 t0: [22:46:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.9214 n1: 15.9214 u1: ml/dl st: NotStopd id: WBC t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 26.4 n1: 26.4 rs: Final st: NotStopd id: Hematocrit t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 36.2 n1: 36.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 633 n1: 633 rs: Final st: NotStopd id: RBC t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.09 n1: 4.09 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 26.4 n1: 26.4 rs: Final st: NotStopd
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 100 cg: RN cu: CCU am: 100 du: mcgkgmin rt: IV Drip
pi: 4338647 hi: 18838 t0: [00:00:00 22/02/2016] tf: [02:00:00 25/02/2016] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4338648 hi: 18838 t0: [00:00:00 22/02/2016] tf: [01:00:00 25/02/2016] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Flutter st: NotStopd id: NBP t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 117 n2: 117 u2: mmHg st: NotStopd id: Arterial BP t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 119 n2: 119 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:50:00 21/02/2016] 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: [21:30:00 21/02/2016] 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: [22:20:00 21/02/2016] 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 21/02/2016] 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: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:20:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [19:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [19:50:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:30:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:20:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.8904 n1: 15.8904 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [23:17:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: Service Type t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: NBP t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 105 n2: 105 u2: mmHg st: NotStopd id: Arterial BP t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 114 n2: 114 u2: mmHg st: NotStopd id: Arterial BP t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: Arterial BP t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: Arterial BP t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 113 n2: 113 u2: mmHg st: NotStopd id: Arterial BP t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:25:00 21/02/2016] 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: [22:30:00 21/02/2016] 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: [22:35:00 21/02/2016] 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: [22:40:00 21/02/2016] 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: [22:45:00 21/02/2016] 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: [22:50:00 21/02/2016] 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: [23:05:00 21/02/2016] 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: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Tube Feeding t0: [20:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 60 vu: ml id: Tube Feeding t0: [21:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml
id: Amiodarone t0: [23:05:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: INR t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 46.6 n1: 46.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: PTT(22-35) t0: [22:06:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 46.6 n1: 46.6 rs: Final st: NotStopd
id: Service Type t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: NBP t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:10:00 21/02/2016] 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: [23:15:00 21/02/2016] 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: [23:20:00 21/02/2016] 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: [23:25:00 21/02/2016] 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: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Significant Events t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intubated st: NotStopd id: SpO2 t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: % st: NotStopd id: calprevflg t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [23:10:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:15:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:20:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:25:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd
id: Compliance (40-60ml) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 26.087 n1: 26.087 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 651 n1: 651 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Ve High t0: [23:45:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sputum Color/Consist t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [23:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Art.pH t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Potassium t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 227 n1: 227 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:30:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 22/02/2016] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: CVP t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [21:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supravent Tachy st: NotStopd id: Heart Rhythm t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supravent Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:35:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:50:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:05:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:10:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:25:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/02/2016] 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: [20:00:00 21/02/2016] 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: [20:30:00 21/02/2016] 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 21/02/2016] 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: [23:30:00 21/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [19:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: % st: NotStopd id: SpO2 t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [00:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [23:30:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [23:25:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [00:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:30:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: CVP t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supravent Tachy st: NotStopd id: NBP t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [21:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [21:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [21:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [21:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: Arterial BP t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/02/2016] 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: [01:30:00 22/02/2016] 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: [01:45:00 22/02/2016] 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: [20:40:00 21/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:40:00 21/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: % st: NotStopd id: calprevflg t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:40:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:40:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 635 n1: 635 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Ectopy Frequency t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: Tube Feeding t0: [22:00:00 21/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Dopamine io: D5W 250.0ml + 400mcgkgmin Dopamine el: 100 cg: RN cu: CCU am: 400 du: mcgkgmin rt: IV Drip id: Dopamine io: D5W 250.0ml + 400mcgkgmin Dopamine el: 200 cg: RN cu: CCU am: 400 du: mcgkgmin rt: IV Drip
id: Art.pH t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.368 n1: 15.368 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: % rs: Final st: NotStopd
id: Tube Feeds In Total t0: [23:00:00 21/02/2016] el: 2 cg: 1663 cu: CCU cv: 255 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/02/2016] 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: [02:10:00 22/02/2016] 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: [02:30:00 22/02/2016] 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: [03:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:10:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:10:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:10:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Gag Reflex t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LUL Lung Sounds t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Disoriented st: NotStopd id: Angio Site #1 t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Responds to Stimuli t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Urine Color/Appear t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Less Restrict Meas. t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Circulation Adeq st: NotStopd id: Compliance (40-60ml) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Position Change t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Restraint Location t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [03:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 606 n1: 606 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:20:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: Pt./Family Informed t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Very Limited st: NotStopd
id: Hematocrit t0: [02:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: % rs: Final st: NotStopd
id: Art.pH t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: SaO2 t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd id: CaO2 t0: [04:09:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7502 n1: 14.7502 u1: ml/dl st: NotStopd id: WBC t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd id: Hematocrit t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.9 n1: 32.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 533 n1: 533 rs: Final st: NotStopd id: RBC t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 21.5 n1: 21.5 rs: Final st: NotStopd
id: BUN t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: Magnesium t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: PT t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: INR t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 45.6 n1: 45.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: PTT(22-35) t0: [03:54:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 45.6 n1: 45.6 rs: Final st: NotStopd
pi: 4338990 hi: 18838 t0: [06:00:00 22/02/2016] tf: [05:00:00 23/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:15:00 22/02/2016] 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: [03:30:00 22/02/2016] 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 22/02/2016] 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: [04:30:00 22/02/2016] 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: [04:50:00 22/02/2016] 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: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml
id: Fentanyl t0: [04:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [03:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Heparin t0: [03:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:50:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:50:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PEEP Set t0: [05:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [05:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd
id: Service Type t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/02/2016] 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: [05:15:00 22/02/2016] 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: [06:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 9.34312 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml
id: Heparin t0: [05:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4339029 hi: 18838 t0: [07:00:00 22/02/2016] tf: [06:00:00 23/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.1934 n1: 15.1934 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 151 n1: 151 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [06:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 637 n1: 637 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [06:25:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4339121 hi: 18838 t0: [08:00:00 22/02/2016] tf: [02:00:00 25/02/2016] mn: DOPamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [07:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml
id: Compliance (40-60ml) t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PEEP Set t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Ve High t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:41:00 22/02/2016] el: 0 cg: MS cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: bath t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Cough Reflex t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Eye Opening t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Follows Commands t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GCS Total t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Gag Reflex t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LLL Lung Sounds t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LLL Lung Sounds t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LUE Temp/Color t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Motor Response t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Previous Weight t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:35:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:40:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:35:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:40:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 22/02/2016] 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: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Response R/L t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: Pupil Size R/L t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLE Temp/Color t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLE Temp/Color t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Discoordinate st: NotStopd id: Respiratory Pattern t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Discoordinate st: NotStopd id: Respiratory Rate t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Spontaneous Movement t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: INV#1 Cap Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.42216 n1: 1.42216 u1: m2 st: NotStopd id: BSA - Metric t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.65581 n1: 1.65581 u1: m2 st: NotStopd id: Verbal Response t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Weight Change t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Fingerstick Glucose t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Heparin t0: [04:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [06:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [05:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [06:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 22/02/2016] 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: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
pi: 4339295 hi: 18838 t0: [09:00:00 22/02/2016] tf: [11:00:00 24/02/2016] mn: AcetaZOLamide pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xu: Enter on Label pi: 4339296 hi: 18838 t0: [09:00:00 22/02/2016] tf: [16:00:00 22/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: GI Prophylaxis t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LUE Temp/Color t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Oral Cavity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Stool Guaiac t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: LLL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd
id: ETT Mark/Location t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Mean Airway Pressure t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Sensitivity-Vent t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 585 n1: 585 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Service Type t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Follows Commands t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Pupil Response R/L t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Spontaneous Movement t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Reason For Restraint t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Therapeutic Bed t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pt./Family Informed t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Braden Activity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: INV Line#1 Type/Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
id: Service Type t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Lactic Acid t0: [10:10:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Hematocrit t0: [10:10:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [10:10:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Mixed Venous O2 t0: [10:10:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd
id: Art.pH t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: CaO2 t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7192 n1: 14.7192 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [10:20:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Service Type t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:15:00 22/02/2016] 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: [09:30:00 22/02/2016] 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: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Cough Reflex t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Gag Reflex t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Oral Care t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Location t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Position Change t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Service Type t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Heparin t0: [11:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Ve High t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 538 n1: 538 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:15:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: PEEP Set t0: [09:19:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:19:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: . st: NotStopd
id: High Insp. Pressure t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 st: NotStopd id: Ve High t0: [08:50:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd
id: Temperature C (calc) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 22/02/2016] el: 0 cg: CoWker cu: CCU v1: 172 n1: 172 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [12:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [12:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vu: ml st: Restart
id: Cough Reflex t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: bath t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: done id: Circulation/SkinInt t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Service Type t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 22/02/2016] 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: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: calprevflg t0: [10:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 51 n1: 51 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: CaO2 t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.9516 n1: 14.9516 u1: ml/dl st: NotStopd id: SaO2 t0: [12:34:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: PT t0: [11:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [11:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [11:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 46.5 n1: 46.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [11:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [11:45:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 46.5 n1: 46.5 rs: Final st: NotStopd
id: Pain Present t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml
id: Service Type t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [13:25:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:15:00 22/02/2016] 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: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:20:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:20:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:20:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:20:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: FiO2 Set t0: [13:43:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Service Type t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: calprevflg t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Precautions t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 12.3333 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 15.855 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: CVP t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Position Change t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Pain Present t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: HOB t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
pi: 4340789 hi: 18838 t0: [16:00:00 22/02/2016] tf: [10:00:00 24/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Ve High t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Source/Amt t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: 552 n1: 552 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:16:00 22/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: Cardiac Index t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2.78302 n1: 2.78302 u1: ... st: NotStopd id: DO2I t0: [10:20:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 417 n1: 417 u1: ml/m/m st: NotStopd id: SVR t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 650.847 n1: 650.847 u1: ... st: NotStopd id: SVRI t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1381.29 n1: 1381.29 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: C.O. (fick) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 5.93877 n1: 5.93877 u1: L/min st: NotStopd
id: Service Type t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Arterial BP t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:15:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
pi: 4341025 hi: 18838 t0: [17:00:00 22/02/2016] tf: [16:00:00 23/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Oral Care t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: WBC (4-11,000) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: CaO2 t0: [15:53:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.8993 n1: 13.8993 u1: ml/dl st: NotStopd id: WBC t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Hematocrit t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.6 n1: 31.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 510 n1: 510 rs: Final st: NotStopd id: RBC t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: NBP t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [16:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Location t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: Position Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Tube Feeding t0: [16:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vu: ml nb: 1
id: HOB t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Turn t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: GI Prophylaxis t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Clear st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Cavity t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Cough Reflex t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Gag Reflex t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: LUE Temp/Color t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Responds to Stimuli t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Withdraws st: NotStopd id: Spontaneous Movement t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Verbal Response t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: BUN t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:14:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [17:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [18:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [18:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU cv: 200 ac: 24 ap: none re: 0
id: Heparin t0: [17:20:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [18:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Pain Location t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd
id: Service Type t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:50:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:50:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:50:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:50:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Arterial BP t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:55:00 22/02/2016] 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: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:55:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [18:55:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:55:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:55:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [19:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd
id: Alarms t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd
id: Service Type t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Arterial BP t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:10:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:10:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:10:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [19:10:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.6 n1: 7.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Plug st: NotStopd id: Sputum Source/Amt t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 689 n1: 689 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: NBP t0: [20:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [20:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [20:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [20:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 51 n1: 51 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 22/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PCWP t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Swan SVO2 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: % st: NotStopd id: calprevflg t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd id: SaO2 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd
id: Fentanyl t0: [20:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CaO2 t0: [20:19:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.6712 n1: 14.6712 u1: ml/dl st: NotStopd id: Hematocrit t0: [20:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.2 n1: 32.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [20:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd
id: Cardiac Index t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2.9717 n1: 2.9717 u1: ... st: NotStopd id: PVRI t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 323.232 n1: 323.232 u1: ... st: NotStopd id: SVR t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 736.508 n1: 736.508 u1: ... st: NotStopd id: SVRI t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1562.29 n1: 1562.29 u1: ... st: NotStopd id: Hemoglobin t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11.2 n1: 11.2 u1: gm/dl rs: Manual st: NotStopd id: C.O. (fick) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6.30616 n1: 6.30616 u1: L/min st: NotStopd
id: Service Type t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PAP Mean t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 11.8912 vu: ml id: Tube Feeding t0: [21:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3.75 vu: ml
id: Fentanyl t0: [21:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [20:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:11:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
pi: 4341934 hi: 18838 t0: [22:00:00 22/02/2016] tf: [02:00:00 25/02/2016] mn: Ipratropium Bromide MDI pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Cardiac Index t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2.9717 n1: 2.9717 u1: ... st: NotStopd id: Code Status t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [20:19:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 445.5 n1: 445.5 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: MultFocalAtrTach st: NotStopd id: Heart Rhythm t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Parox Atr Tachy st: NotStopd id: Heart Rhythm t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP Mean t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP Mean t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: PAP S/D t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: PAP S/D t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: PAP S/D t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: PCWP t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 22/02/2016] 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: [20:45:00 22/02/2016] 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: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SVRI t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1804.71 n1: 1804.71 u1: ... st: NotStopd id: SpO2 t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [20:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:15:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1:3.5 st: NotStopd id: Airway Size t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 604 n1: 604 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pressure Support t0: [20:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd
id: Service Type t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: PAP Mean t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: Arterial BP t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: calprevflg t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:30:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Bilious st: NotStopd id: Gag Reflex t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pupil Response R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Support Systems t0: [20:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#3 Cap Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Behavior t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Moisture t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd
id: Service Type t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Line Cultured st: NotStopd id: Respiratory Rate t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#2 D/C Date t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [22:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [22:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Total Hourly Output t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU cv: 2650 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU cv: 2650 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [22:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: Airway Size t0: [22:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [22:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [22:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: MDI #1 (Puff/Drug) t0: [22:30:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Atrovent st: NotStopd
id: Service Type t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:45:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:45:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4342337 hi: 18838 t0: [01:00:00 23/02/2016] tf: [00:00:00 24/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4342341 hi: 18838 t0: [01:00:00 23/02/2016] tf: [12:00:00 26/02/2016] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4342342 hi: 18838 t0: [01:00:00 23/02/2016] tf: [08:00:00 01/03/2016] mn: Meropenem pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 4, 12, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PCWP t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 22/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [00:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [23:00:00 22/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 22/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [00:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 88.8175 cv: 1981.86 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 103.817 cv: 2256.86 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 15 cv: 75 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 103.817 cv: -393.14 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 103.817 cv: 1087.18 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 103.817 cv: 103.817 ac: 1 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 598 n1: 598 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: CaO2 t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.024 n1: 15.024 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Hematocrit t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd id: SaO2 t0: [00:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [01:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [01:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [03:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Site Date t0: [03:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP Mean t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] 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: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [02:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [03:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Cardiac Index t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2.87736 n1: 2.87736 u1: ... st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: DO2I t0: [00:22:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 432 n1: 432 u1: ml/m/m st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Type/Site t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3 Zero/Cal t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3InsertDate t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PVRI t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 333.333 n1: 333.333 u1: ... st: NotStopd id: Pain Location t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pupil Response R/L t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: SVR t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 681.967 n1: 681.967 u1: ... st: NotStopd id: SVRI t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1444.44 n1: 1444.44 u1: ... st: NotStopd id: Side Rails t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Swan SVO2 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Insulin Guideline t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Mixed Venous O2% Sat t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 rs: Manual st: NotStopd id: Braden Activity t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: SaO2 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: C.O. (fick) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6.08871 n1: 6.08871 u1: L/min st: NotStopd
id: Service Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [04:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 25.641 n1: 25.641 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 25.641 n1: 25.641 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.546 n1: 0.546 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 697 n1: 697 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 rs: Manual st: NotStopd
id: Arterial Base Excess t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 u1: mmHg rs: Final st: NotStopd
id: Ionized Calcium t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.09 n1: 1.09 rs: Final st: NotStopd id: SaO2 t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: PCWP t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Swan SVO2 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 rs: Manual st: NotStopd id: SaO2 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: CaO2 t0: [04:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.9724 n1: 13.9724 u1: ml/dl st: NotStopd id: WBC t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: Hematocrit t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.4 n1: 31.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 482 n1: 482 rs: Final st: NotStopd id: RBC t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.47 n1: 3.47 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:12:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.3 n1: 16.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [05:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [05:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3.91509 n1: 3.91509 u1: ... st: NotStopd id: DO2I t0: [04:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 548.8 n1: 548.8 u1: ml/m/m st: NotStopd id: PVRI t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 204.082 n1: 204.082 u1: ... st: NotStopd id: SVR t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 501.205 n1: 501.205 u1: ... st: NotStopd id: SVRI t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1061.22 n1: 1061.22 u1: ... st: NotStopd id: Hemoglobin t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Manual st: NotStopd id: C.O. (fick) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8.34788 n1: 8.34788 u1: L/min st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [06:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [06:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:37:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 9.7 n1: 9.7 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Source/Amt t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 756 n1: 756 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:45:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
pi: 4342931 hi: 18838 t0: [09:00:00 23/02/2016] tf: [08:00:00 24/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Cause t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 26 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 33.975 vu: ml id: Tube Feeding t0: [08:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml
id: Cough Reflex t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Gag Reflex t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pupil Response R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [08:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: PCWP t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:50:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [10:15:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Art.pH t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Pain Location t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Arterial Base Excess t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Sputum Source/Amt t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: SaO2 t0: [10:34:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 23/02/2016] 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: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: PAP Mean t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [10:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd
id: Service Type t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CaO2 t0: [10:34:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14.806 n1: 14.806 u1: ml/dl st: NotStopd id: Cardiac Index t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2.87736 n1: 2.87736 u1: ... st: NotStopd id: Code Status t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [10:34:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 432 n1: 432 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SVR t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 734.426 n1: 734.426 u1: ... st: NotStopd id: SVRI t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1555.56 n1: 1555.56 u1: ... st: NotStopd id: SpO2 t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11.1 n1: 11.1 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd id: C.O. (fick) t0: [10:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6.14356 n1: 6.14356 u1: L/min st: NotStopd
id: Fentanyl t0: [10:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PCWP t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd
id: Dorsal PedPulse R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: LUE Temp/Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Stool Guaiac t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [09:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [10:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Less Restrict Meas. t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Position Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
id: ETT Mark/Location t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Ve High t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 920 n1: 920 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: MDI #1 (Puff/Drug) t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Sputum Source/Amt t0: [11:24:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: None st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 23/02/2016] el: 0 cg: CoWker cu: CCU v1: 179 n1: 179 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [12:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [11:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [12:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 4.16667 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml
id: Less Restrict Meas. t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: bath t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: done id: INV Line#1 Type/Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Skin Care t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Back Care t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Pain Present t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [12:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd
id: Service Type t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: HOB t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Activity t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: PAP Mean t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP Mean t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP Mean t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: PAP S/D t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: PAP S/D t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: PAP S/D t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous Weight t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:20:00 23/02/2016] 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: [11:25:00 23/02/2016] 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: [11:30:00 23/02/2016] 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: [11:35:00 23/02/2016] 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: [11:40:00 23/02/2016] 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: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [11:20:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:25:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:35:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:40:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:20:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:25:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:40:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:20:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:25:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:40:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:20:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:25:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:40:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:20:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:25:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:35:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:40:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Activity t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Activity Tolerance t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Position t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Assistance Device t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Therapeutic Bed t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Turn t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd
id: Art.pH t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.5642 n1: 14.5642 u1: ml/dl st: NotStopd id: Previous Weight t0: [10:35:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Arterial Base Excess t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [12:26:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
pi: 4343950 hi: 18838 t0: [14:00:00 23/02/2016] tf: [13:00:00 24/02/2016] mn: Cosyntropin pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [13:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [13:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [13:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml
id: HOB t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Cuff Pressure-Airway t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Done st: NotStopd id: FiO2 Set t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Sputum Color/Consist t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:54:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Small st: NotStopd
id: PT t0: [12:11:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [12:11:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [12:11:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [12:11:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.6 n1: 14.6 rs: Final st: NotStopd
id: PTT t0: [12:11:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 82.3 n1: 82.3 rs: Final st: NotStopd id: PTT(22-35) t0: [12:11:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 82.3 n1: 82.3 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [14:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [14:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [14:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [14:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pt./Family Informed t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: ETT Mark/Location t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Ve High t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: 637 n1: 637 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:15:00 23/02/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1300 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Location t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [15:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 16.9875 vu: ml id: Tube Feeding t0: [15:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml
id: Service Type t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4344530 hi: 18838 t0: [17:00:00 23/02/2016] tf: [16:00:00 24/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP Mean t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [15:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Location t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [16:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 13.59 vu: ml id: Tube Feeding t0: [16:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml
id: Glucose t0: [17:15:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Potassium t0: [17:15:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Fingerstick Glucose t0: [17:00:00 23/02/2016] el: 0 cg: CoWker cu: CCU v1: 186 n1: 186 rs: Manual st: NotStopd id: Glucose (70-105) t0: [17:15:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Hematocrit t0: [17:15:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:15:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Cardiac Index t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2.0283 n1: 2.0283 u1: ... st: NotStopd
id: Dopamine t0: [16:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [17:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Cardiac Index t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2.0283 n1: 2.0283 u1: ... st: NotStopd id: Cardiac Index t0: [17:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2.0283 n1: 2.0283 u1: ... st: NotStopd id: Code Status t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SVR t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1265.12 n1: 1265.12 u1: ... st: NotStopd id: SVRI t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2679.8 n1: 2679.8 u1: ... st: NotStopd id: SpO2 t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Swan SVO2 t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: % st: NotStopd id: calprevflg t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 rs: Manual st: NotStopd id: C.O. (fick) t0: [17:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4.34544 n1: 4.34544 u1: L/min st: NotStopd
id: Fentanyl t0: [16:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:15:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [17:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 11.8912 vu: ml id: Tube Feeding t0: [17:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3 vu: ml
id: Less Restrict Meas. t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Significant Events t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd
id: HOB t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Oral Care t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
id: INV Line#1 Type/Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
id: Art.pH t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.5332 n1: 14.5332 u1: ml/dl st: NotStopd id: DO2I t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 304.5 n1: 304.5 u1: ml/m/m st: NotStopd id: Arterial Base Excess t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [18:02:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [18:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 11.8912 vu: ml id: Tube Feeding t0: [18:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3.75 vu: ml
id: Pain Present t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP Mean t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: PAP S/D t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] 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: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:45:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:45:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 11.4666 vu: ml id: Tube Feeding t0: [19:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 4.25 vu: ml
id: Fentanyl t0: [19:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [19:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Back Care t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: ETT Mark/Location t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Ve High t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 708 n1: 708 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [20:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [20:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: PAP Mean t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:30:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4345566 hi: 18838 t0: [23:00:00 23/02/2016] tf: [22:00:00 24/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 23/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 20.385 vu: ml id: Tube Feeding t0: [22:00:00 23/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 23/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [21:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [22:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 1025 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 1535 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 1535 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 23/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pupil Response R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Art.pH t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [22:22:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Hematocrit t0: [22:25:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: % rs: Final st: NotStopd
id: IV Infusion In Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 1109.28 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 2544.28 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 410 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 1009.28 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 2096.46 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: CaO2 t0: [22:22:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13.9579 n1: 13.9579 u1: ml/dl st: NotStopd id: Cardiac Index t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2.9717 n1: 2.9717 u1: ... st: NotStopd id: DO2I t0: [22:22:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 415.8 n1: 415.8 u1: ml/m/m st: NotStopd id: SVR t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 990.476 n1: 990.476 u1: ... st: NotStopd id: SVRI t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2101.01 n1: 2101.01 u1: ... st: NotStopd id: Hemoglobin t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: SaO2 t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6.27813 n1: 6.27813 u1: L/min st: NotStopd
id: ETT Mark/Location t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 738 n1: 738 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP Mean t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 20.385 vu: ml id: Tube Feeding t0: [00:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [00:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4345989 hi: 18838 t0: [03:00:00 24/02/2016] tf: [02:00:00 25/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: HOB t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP Mean t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] 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: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Pt./Family Informed t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [01:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: Tube Feeding t0: [02:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 7.5 vu: ml
id: Fentanyl t0: [01:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [01:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: PAP Mean t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [02:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Gag Reflex t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PCWP t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Significant Events t0: [02:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: Skin Care t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Temp. Site t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Insulin Guideline t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 20.385 vu: ml id: Tube Feeding t0: [04:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 15 vu: ml
id: Fentanyl t0: [03:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [03:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [04:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Ionized Calcium t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.19 n1: 1.19 rs: Final st: NotStopd id: SaO2 t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Swan SVO2 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 rs: Manual st: NotStopd id: SaO2 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd
id: ETT Mark/Location t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Ve High t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 778 n1: 778 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [05:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [05:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 7.5 vu: ml
id: Fentanyl t0: [05:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [05:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Magnesium t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: ALT t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: BUN (6-20) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: CaO2 t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.1472 n1: 13.1472 u1: ml/dl st: NotStopd id: Cardiac Index t0: [04:00:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.67925 n1: 3.67925 u1: ... st: NotStopd id: DO2I t0: [04:07:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 478.4 n1: 478.4 u1: ml/m/m st: NotStopd id: WBC t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: PVRI t0: [04:00:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 304.348 n1: 304.348 u1: ... st: NotStopd id: SVR t0: [04:00:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 625.641 n1: 625.641 u1: ... st: NotStopd id: SVRI t0: [04:00:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 1326.09 n1: 1326.09 u1: ... st: NotStopd id: Hematocrit t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 28.2 n1: 28.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 423 n1: 423 rs: Final st: NotStopd id: RBC t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.11 n1: 3.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:32:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.7 n1: 18.7 rs: Final st: NotStopd id: C.O. (fick) t0: [04:00:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.84144 n1: 7.84144 u1: L/min st: NotStopd
id: RSBI (<100) t0: [06:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: units st: NotStopd id: PEEP Set t0: [06:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [06:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [06:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: units st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.7 n1: 0.7 u1: L st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: HOB t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Oral Care t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP Mean t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] 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: [06:30:00 24/02/2016] 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: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Plug st: NotStopd id: Sputum Source/Amt t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: calprevflg t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [06:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [06:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [06:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [06:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [06:40:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:40:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:40:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:40:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:40:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:40:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd
id: PCWP t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: Swan SVO2 t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd
id: Hematocrit t0: [06:37:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.5 n1: 30.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:37:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd
id: Service Type t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] 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: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [07:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [08:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: PAP Mean t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 20.385 vu: ml id: Tube Feeding t0: [08:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 110 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 10 vu: ml
id: Cough Reflex t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Level of Conscious t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pupil Response R/L t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Responds to Stimuli t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Reason For Restraint t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pt./Family Informed t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: ETT Mark/Location t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5.9 n1: 5.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 750 n1: 750 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: GI Prophylaxis t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Stool Guaiac t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Bowel Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Education Barrier t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd
id: Service Type t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Gag Reflex t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Heart Rate t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LUE Temp/Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: PAP Mean t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [09:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [09:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [09:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [09:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: bath t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: done id: Oral Care t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Art.pH t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: CaO2 t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.5102 n1: 13.5102 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: SaO2 t0: [09:51:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4346697 hi: 18838 t0: [20:00:00 24/02/2016] tf: [10:00:00 26/02/2016] mn: Amiodarone HCl 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: 4346698 hi: 18838 t0: [10:00:00 24/02/2016] tf: [10:00:00 24/02/2016] mn: Digoxin pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4346764 hi: 18838 t0: [10:00:00 24/02/2016] tf: [08:00:00 01/03/2016] mn: Digoxin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP Mean t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: PAP S/D t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] 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: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [10:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Sputum Color/Consist t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [10:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 10.1925 vu: ml id: Tube Feeding t0: [10:00:00 24/02/2016] el: 1 ai: 124 cg: RN cu: CCU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Tube Feeds In Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 605 ac: 24 ap: none re: 0
id: Diet Type t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: LLL Lung Sounds t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Site #1 t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLL Lung Sounds t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Less Restrict Meas. t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Position Change t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: HOB t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Service Type t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] 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: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 24/02/2016] el: 1 ai: 115 cg: RN cu: CCU vo: 8.49375 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [11:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [12:00:00 24/02/2016] el: 0 cg: CoWker cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Brown v2: Thick st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 740 n1: 740 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
id: Service Type t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:50:00 24/02/2016] 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: [11:55:00 24/02/2016] 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: [12:00:00 24/02/2016] 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: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:55:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:50:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 30 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:55:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:50:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:55:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:50:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:55:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Cause t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 3.16667 vu: ml
id: Less Restrict Meas. t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Invasive Lines st: NotStopd id: HOB t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pt./Family Informed t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#1 Type/Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
id: Art.pH t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: CaO2 t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.4699 n1: 13.4699 u1: ml/dl st: NotStopd id: Lactic Acid t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: SaO2 t0: [12:49:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4347344 hi: 18838 t0: [14:00:00 24/02/2016] tf: [18:00:00 24/02/2016] mn: Nitroglycerin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [13:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [13:11:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd
id: Cough Reflex t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Cardiac Index t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2.35849 n1: 2.35849 u1: ... st: NotStopd id: Code Status t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: PAP Mean t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:10:00 24/02/2016] 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: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SVR t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1248 n1: 1248 u1: ... st: NotStopd id: SVR t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1152 n1: 1152 u1: ... st: NotStopd id: SVRI t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2440.68 n1: 2440.68 u1: ... st: NotStopd id: SpO2 t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hemoglobin t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Manual st: NotStopd id: Hemoglobin t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 rs: Manual st: NotStopd id: SaO2 t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [13:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4.99397 n1: 4.99397 u1: L/min st: NotStopd
id: Fentanyl t0: [13:10:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:10:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:10:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 200 cg: RN cu: CCU am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 2 cg: RN cu: CCU ra: 7 ru: ml/hr
pi: 4347392 hi: 18838 t0: [15:00:00 24/02/2016] tf: [14:00:00 25/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Extubation Date t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: FiO2 Set t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Intubation Date t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: SpO2 t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Brown v2: Thick st: NotStopd
id: Service Type t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Cardiac Index t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2.35849 n1: 2.35849 u1: ... st: NotStopd id: Cardiac Index t0: [13:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2.35849 n1: 2.35849 u1: ... st: NotStopd id: Code Status t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [12:49:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 306.8 n1: 306.8 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP Mean t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 24/02/2016] 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: [14:00:00 24/02/2016] 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: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SVRI t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2644.07 n1: 2644.07 u1: ... st: NotStopd id: Significant Events t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Extubated st: NotStopd id: SpO2 t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:45:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Nitroglycerine-k t0: [13:45:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.367918 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Heparin t0: [13:45:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:05:00 24/02/2016] 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: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:05:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [14:05:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:15:00 24/02/2016] 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: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [14:15:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 24/02/2016] el: 1 ai: 190 cg: RN cu: CCU vo: 5 vu: ml
id: Education Barrier t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Conferenc st: NotStopd id: Family Communication t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Restraint Location t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Pt./Family Informed t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:20:00 24/02/2016] 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: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:20:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [14:20:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Nitroglycerine-k t0: [14:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.453 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:05:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.453 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:15:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.453 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:20:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.453 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 24/02/2016] 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: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [14:30:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.518 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:30:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: PAP Mean t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:50:00 24/02/2016] 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: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:50:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [14:50:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.647 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:50:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Cause t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] 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 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [15:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.647 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:10:00 24/02/2016] 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: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Nitroglycerine-k t0: [15:10:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.647 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:10:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: LLL Lung Sounds t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLL Lung Sounds t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd
id: Family Communication t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Activity t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [14:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
id: Art.pH t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.178 n1: 13.178 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [16:18:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [16:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.647 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Eye Opening t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Level of Conscious t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Verbal Response t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd
id: HOB t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Activity t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Therapeutic Bed t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd
pi: 4348079 hi: 18838 t0: [18:00:00 24/02/2016] tf: [17:00:00 25/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 24/02/2016] el: 0 cg: CoWker cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: PCWP t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] 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: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [17:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.77 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Alarms t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Pain Location t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd
pi: 4348266 hi: 18838 t0: [19:00:00 24/02/2016] tf: [08:00:00 26/02/2016] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] 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 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [18:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.77 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Cough Reflex t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: GI Prophylaxis t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [13:45:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.14013 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [16:00:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.79273 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [17:00:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.79273 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [18:00:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 10.4643 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Education Learner t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Learner t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Method t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Readiness t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Response t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #1 t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Family Communication t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Side Rails t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pt./Family Informed t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Restraint Location t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Behavior t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI (<100) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Cuff Pressure-Airway t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI Not Completed t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Mark/Location t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Position Change t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: High Insp. Pressure t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: High Resp. Rate t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: I:E Ratio t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Size t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Inspired Gas Temp t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Low Exhaled Min Vol t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Mean Airway Pressure t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Minute Volume(Obser) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Neg Insp Force(>-25) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PEEP Set t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Apnea Time Interval t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Peak Insp. Pressure t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Plateau Pressure t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pressure Support t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RSBI (<200) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Spont) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Resp Rate (Total) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Respiratory Rate Set t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tank A psi. t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tank B psi. t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Ve High t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Sensitivity-Vent t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Spon RR (Mech.) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Spon. Vt (L) (Mech.) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Obser) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Set) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Tidal Volume (Spont) t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Ventilator Mode t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Ventilator Type t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Vital Cap (>1.0)L t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Waveform-Vent t0: [20:00:00 24/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Pain Present t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 24/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Response t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Airway Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LLL Lung Sounds t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PCWP t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] 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: [20:00:00 24/02/2016] 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: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Pupil Response R/L t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Temp. Site t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 20.9286 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml
id: Nitroglycerine-k t0: [19:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.77 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [20:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.0144 n1: 13.0144 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [21:02:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
pi: 4348905 hi: 18838 t0: [23:00:00 24/02/2016] tf: [22:00:00 25/02/2016] mn: Olanzapine pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4348914 hi: 18838 t0: [23:00:00 24/02/2016] tf: [22:00:00 25/02/2016] mn: Olanzapine pt: Unit Dose st: Expired rt: PO fr: 1X ds: 23 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Cardiac Index t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2.92453 n1: 2.92453 u1: ... st: NotStopd id: Code Status t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: PVRI t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 219.178 n1: 219.178 u1: ... st: NotStopd id: Arterial BP t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] 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 24/02/2016] 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 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SVR t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 774.194 n1: 774.194 u1: ... st: NotStopd id: SVRI t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1643.84 n1: 1643.84 u1: ... st: NotStopd id: SpO2 t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Swan SVO2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: % st: NotStopd id: calprevflg t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 rs: Manual st: NotStopd id: SaO2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6.24246 n1: 6.24246 u1: L/min st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [22:00:00 24/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 16.308 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml
id: Nitroglycerine-k t0: [21:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [22:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 1560.69 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 2575.69 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 410 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 2480 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 95.6887 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 2192.15 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 2480 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 24/02/2016] el: 0 cg: CoWker cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] 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 24/02/2016] 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 25/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [00:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 16.308 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22 vu: ml
id: Nitroglycerine-k t0: [00:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [00:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 25/02/2016] el: 1 ai: 115 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 25/02/2016] el: 1 ai: 190 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4349301 hi: 18838 t0: [02:00:00 25/02/2016] tf: [01:00:00 26/02/2016] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4349304 hi: 18838 t0: [02:00:00 25/02/2016] tf: [01:00:00 26/02/2016] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: CVP t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP Mean t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP Mean t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PAP S/D t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: PAP S/D t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] 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: [01:30:00 25/02/2016] 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: [01:35:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:35:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [01:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:30:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:35:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:30:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:35:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: PAP Mean t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:40:00 25/02/2016] 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: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [01:40:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:40:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:45:00 25/02/2016] 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: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [01:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.154 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Nitroglycerine-k t0: [01:45:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:45:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [02:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 9.85275 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
pi: 4349331 hi: 18838 t0: [03:00:00 25/02/2016] tf: [11:00:00 26/02/2016] mn: Midazolam HCl pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4349351 hi: 18838 t0: [10:00:00 25/02/2016] tf: [18:00:00 02/03/2016] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued via patient discharge rt: NEB fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PAP S/D t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:50:00 25/02/2016] 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: [01:55:00 25/02/2016] 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: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:55:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [01:50:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:55:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:50:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:55:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [01:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [01:50:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] 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 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [02:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: PAP Mean t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP Mean t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: PAP S/D t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:05:00 25/02/2016] 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: [02:15:00 25/02/2016] 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: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [02:05:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:15:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:05:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:15:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP Mean t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: PAP Mean t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: PAP S/D t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: PAP S/D t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: PAP S/D t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: Arterial BP t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:20:00 25/02/2016] 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: [02:25:00 25/02/2016] 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: [02:30:00 25/02/2016] 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: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:20:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:25:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [02:20:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:25:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:30:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:20:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:25:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:30:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: Arterial BP t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:45:00 25/02/2016] 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: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [02:45:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:45:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Pain Level t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Level/Response t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 0-None st: NotStopd id: Pain Present t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Circulation/SkinInt t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 25/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #1 t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #1 t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: Follows Commands t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Gag Reflex t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Airway Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LLL Lung Sounds t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Angio Appearance #1 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Orientation t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Cause t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Procedural st: NotStopd id: Pain Level (Rest) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Dull st: NotStopd id: Position Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Reason For Restraint t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Verbal Response t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Behavior t0: [01:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Behavior t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Pt./Family Informed t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Effort t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Effort t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Cough Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Cough Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: HOB t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Type/Site t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3 Zero/Cal t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3InsertDate t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Dsg Change t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Effort t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Effort t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Effort t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Rate t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Cap Change t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Cap Change t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Temp. Site t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: calprevflg t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [03:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 17.667 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Nitroglycerine-k t0: [03:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [04:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 20.385 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Less Restrict Meas. t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Pain Present t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough/Deep Breathe t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [04:00:00 25/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: GI#1 Intub Site t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: PA line cm Mark t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Education Topic #1 t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Gag Reflex t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: HOB t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Airway Type t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LUE Temp/Color t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Hematoma v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: PAP S/D t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 13 n2: 13 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 25/02/2016] 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 25/02/2016] 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: [03:30:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Temp. Site t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Nitroglycerine-k t0: [03:30:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [04:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:30:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Precautions t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 25/02/2016] 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: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Nitroglycerine-k t0: [04:30:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:30:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: CVP t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PCWP t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: CaO2 t0: [04:45:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.6283 n1: 11.6283 u1: ml/dl st: NotStopd
id: Service Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Cardiac Index t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 3.49057 n1: 3.49057 u1: ... st: NotStopd id: Code Status t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [04:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 418.8 n1: 418.8 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: PVRI t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 275.072 n1: 275.072 u1: ... st: NotStopd id: Arterial BP t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] 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 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SVR t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 583.784 n1: 583.784 u1: ... st: NotStopd id: SVRI t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1237.82 n1: 1237.82 u1: ... st: NotStopd id: SpO2 t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Swan SVO2 t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd id: calprevflg t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [02:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Mixed Venous O2% Sat t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: SaO2 t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 7.4179 n1: 7.4179 u1: L/min st: NotStopd
id: Nitroglycerine-k t0: [05:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Range of Motion t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Effort t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Alarms t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Family Communication t0: [05:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GI Intub #1/Site t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Oral Cavity t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Effort t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [05:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Pt./Family Informed t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [05:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 9.513 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Service Type t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] 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: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [06:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.154 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 11 vu: ml
id: Nitroglycerine-k t0: [06:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [05:51:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 25.6 n1: 25.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:51:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: gm/dl rs: Final st: NotStopd
id: Eye Care t0: [08:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: In-Line Sx Change t0: [08:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: PCWP t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [08:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 16.308 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml
id: Nitroglycerine-k t0: [08:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Clear st: NotStopd id: HOB t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LUE Temp/Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Pupil Response R/L t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Restraint DC'd st: NotStopd id: Side Rails t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [09:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.154 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Nitroglycerine-k t0: [09:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: FiO2 Set t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd
id: Cough Effort t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd
pi: 4349994 hi: 18838 t0: [16:00:00 25/02/2016] tf: [16:00:00 25/02/2016] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4349995 hi: 18838 t0: [20:00:00 25/02/2016] tf: [07:00:00 28/02/2016] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4349996 hi: 18838 t0: [11:00:00 25/02/2016] tf: [10:00:00 26/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4349997 hi: 18838 t0: [11:00:00 25/02/2016] tf: [16:00:00 28/02/2016] mn: Diazepam pt: Unit Dose st: Discontinued rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [10:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 8.154 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Nitroglycerine-k t0: [10:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeding t0: [10:00:00 25/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Blood Products t0: [10:08:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Service Type t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: PAP Mean t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 12 n2: 12 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [10:30:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0.220751 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:30:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [11:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 5.577 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Tube Feeding t0: [11:00:00 25/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml
id: Heparin t0: [11:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Nitroglycerine-k t0: [11:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd
id: Packed RBC's t0: [11:00:00 25/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: Service Type t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [11:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [11:30:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:30:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 25/02/2016] el: 0 cg: CoWker cu: CCU v1: 149 n1: 149 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: PAP Mean t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 25/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [12:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Tube Feeding t0: [12:00:00 25/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 30 vu: ml
id: Nitroglycerine-k t0: [12:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Effort t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: RLE Temp/Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Pt./Family Informed t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Tube Feeding t0: [12:30:00 25/02/2016] el: 1 ai: 124 cg: RN cu: CCU vo: 15 vu: ml id: Tube Feeding t0: [12:31:00 25/02/2016] el: 1 ai: 124 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Tube Feeds In Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU cv: 75 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [13:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Nitroglycerine-k t0: [13:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [12:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 62.4 n1: 62.4 rs: Final st: NotStopd id: PTT(22-35) t0: [12:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 62.4 n1: 62.4 rs: Final st: NotStopd
id: Sed Rate t0: [05:51:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [14:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Nitroglycerine-k t0: [14:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Packed RBC's t0: [14:00:00 25/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 283 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU cv: 283 ac: 24 ap: none re: 0
id: Service Type t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml
id: Nitroglycerine-k t0: [15:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml st: Stopped
id: Heparin t0: [15:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [16:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4351178 hi: 18838 t0: [22:00:00 25/02/2016] tf: [12:00:00 01/03/2016] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4351179 hi: 18838 t0: [17:00:00 25/02/2016] tf: [18:00:00 02/03/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [16:05:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Follows Commands t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Airway Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Orientation t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: RLE Temp/Color t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spontaneous Movement t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Verbal Response t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [16:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml
id: Mixed Venous O2% Sat t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 rs: Manual st: NotStopd id: SaO2 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd
id: Stool Color/Consist t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
id: Potassium t0: [15:56:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:56:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Hematocrit t0: [15:56:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.7 n1: 30.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:56:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd
id: CaO2 t0: [16:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 13.898 n1: 13.898 u1: ml/dl st: NotStopd id: Cardiac Index t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2.92453 n1: 2.92453 u1: ... st: NotStopd id: DO2I t0: [16:05:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 408.8 n1: 408.8 u1: ml/m/m st: NotStopd id: SVR t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 825.806 n1: 825.806 u1: ... st: NotStopd id: SVRI t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1753.42 n1: 1753.42 u1: ... st: NotStopd id: Hemoglobin t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6.19359 n1: 6.19359 u1: L/min st: NotStopd
id: CVP t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Cardiac Index t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Mean t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP S/D t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PCWP t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: SVR t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Swan SVO2 t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O.(thermodilution) t0: [17:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4351259 hi: 18838 t0: [22:00:00 25/02/2016] tf: [09:00:00 28/02/2016] mn: Warfarin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Health Care Proxy t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: PA line cm Mark t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: cm st: NotStopd id: Heart Rate t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [17:00:00 25/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 130 vu: ml
id: Nitroglycerine-k t0: [17:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 25/02/2016] el: 0 cg: CoWker cu: CCU v1: 173 n1: 173 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Nitroglycerine-k t0: [18:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [19:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Nitroglycerine-k t0: [19:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GI#1 Intub Site t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Guaiac/ph t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 D/C Date t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Type/Site t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Zero/Cal t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3InsertDate t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 WaveformAppear t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Dsg Change t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Cap Change t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Tubing Change t0: [21:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [21:00:00 25/02/2016] el: 2 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [20:00:00 25/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#3 D/C Date t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PA line v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Airway Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: RLE Temp/Color t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 25/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 150 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 25/02/2016] el: 2 ai: 155 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml
id: Nitroglycerine-k t0: [20:00:00 25/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU cv: 640 ac: 24 ap: none re: 0
id: Arterial BP t0: [22:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [22:00:00 25/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Fingerstick Glucose t0: [22:00:00 25/02/2016] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [23:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 9 cv: 872.227 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 9 cv: 1870.23 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 1990 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: -21 cv: -119.773 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: -21 cv: 2072.38 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: -21 cv: -21 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 1990 ac: 24 ap: none re: 0
pi: 4352368 hi: 18838 t0: [01:00:00 26/02/2016] tf: [00:00:00 27/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: calprevflg t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [00:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Airway Type t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Airway Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: NBP t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Precautions t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Expectorated v2: Moderate st: NotStopd id: calprevflg t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [01:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [02:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Color/Consist t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Color/Consist t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
id: Packed RBC's t0: [01:00:00 26/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml uu: Units es: Large id: Packed RBC's t0: [02:00:00 26/02/2016] el: 1 ai: 304 cg: RN cu: CCU vu: ml uu: Units es: Medium
id: Blood Products Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Cough Reflex t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough/Deep Breathe t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Diet Type t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: Follows Commands t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LUE Temp/Color t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disoriented st: NotStopd id: Angio Site #1 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLE Temp/Color t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd
id: NBP t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: Service Type t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [03:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: NBP t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd
id: Service Type t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Precautions t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [04:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: NBP t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Fingerstick Glucose t0: [06:00:00 26/02/2016] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml
id: Heparin t0: [05:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Education Learner t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Topic #1 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #1 t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: Pupil Response R/L t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nonreactive v2: Nonreactive st: NotStopd id: Pupil Size R/L t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Pattern t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Urine Source t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Pt./Family Informed t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: INV Line#1 Zero/Cal t0: [07:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [07:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: WBC (4-11,000) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: WBC t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: Hematocrit t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 356 n1: 356 rs: Final st: NotStopd id: RBC t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.43 n1: 3.43 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd
id: PT t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: INR t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 50.4 n1: 50.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: PTT(22-35) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 50.4 n1: 50.4 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Risk for Falls t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml
id: Heparin t0: [08:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Potassium t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
pi: 4353028 hi: 18838 t0: [09:00:00 26/02/2016] tf: [08:00:00 27/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4353029 hi: 18838 t0: [09:00:00 26/02/2016] tf: [09:00:00 02/03/2016] mn: Pantoprazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4353030 hi: 18838 t0: [09:00:00 26/02/2016] tf: [08:00:00 27/02/2016] 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: 4353031 hi: 18838 t0: [09:00:00 26/02/2016] tf: [10:00:00 26/02/2016] mn: Spironolactone pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4353032 hi: 18838 t0: [20:00:00 26/02/2016] tf: [18:00:00 02/03/2016] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: INV Line#1 D/C Date t0: [08:01:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [08:01:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [08:01:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [08:01:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Cap Change t0: [08:01:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [08:01:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4353352 hi: 18838 t0: [10:00:00 26/02/2016] tf: [18:00:00 02/03/2016] mn: Spironolactone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4353353 hi: 18838 t0: [10:00:00 26/02/2016] tf: [09:00:00 27/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 dt: 3 di: Days xv: 36 xu: Hours pi: 4353354 hi: 18838 t0: [10:00:00 29/02/2016] tf: [09:00:00 27/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 26/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 180 vu: ml id: Po Intake t0: [09:00:00 26/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [10:00:00 26/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: TF Residual t0: [11:00:00 26/02/2016] el: 3 ai: 262 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Gastric Meds t0: [11:00:00 26/02/2016] el: 1 ai: 110 cg: -1 cu: CCU vo: 0 st: D/C'd id: GT Flush t0: [11:00:00 26/02/2016] el: 1 ai: 113 cg: -1 cu: CCU vo: 0 st: D/C'd id: Urine Out Foley t0: [10:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Heparin t0: [09:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:15:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4353421 hi: 18838 t0: [12:00:00 26/02/2016] tf: [18:00:00 02/03/2016] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4353422 hi: 18838 t0: [12:00:00 26/02/2016] tf: [11:00:00 27/02/2016] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 26/02/2016] el: 0 cg: CoWker cu: CCU v1: 149 n1: 149 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Risk for Falls t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 26/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [12:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Heparin t0: [11:05:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4353514 hi: 18838 t0: [13:00:00 26/02/2016] tf: [18:00:00 02/03/2016] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4354121 hi: 18838 t0: [16:00:00 26/02/2016] tf: [12:00:00 27/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4354209 hi: 18838 t0: [16:00:00 26/02/2016] tf: [09:00:00 27/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: PRN dn: 0 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Risk for Falls t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:55:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:45:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [14:00:00 26/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 180 vu: ml id: D5W 100.0ml t0: [16:00:00 26/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 36 vu: ml id: Urine Out Foley t0: [16:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Heparin t0: [13:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:55:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:45:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:15:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4354465 hi: 18838 t0: [18:00:00 26/02/2016] tf: [12:00:00 27/02/2016] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 26/02/2016] el: 0 cg: CoWker cu: CCU v1: 197 n1: 197 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [17:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [18:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 34.8 n1: 34.8 u1: % rs: Final st: NotStopd
id: Potassium t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: BUN t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Creatinine t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: BUN (6-20) t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:59:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: INV Line#1SiteAppear t0: [20:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: CVP Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4354888 hi: 18838 t0: [21:00:00 26/02/2016] tf: [12:00:00 27/02/2016] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incentive Spirometry t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ecchymotic v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 26/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [20:00:00 26/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 36 vu: ml id: Urine Out Foley t0: [20:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Heparin t0: [20:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [21:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Heparin t0: [21:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Incentive Spirometry t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 26/02/2016] el: 0 cg: CoWker cu: CCU v1: 186 n1: 186 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/02/2016] 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: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [22:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Heparin t0: [22:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incentive Spirometry t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Assistance Device t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/02/2016] 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: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [21:00:00 26/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [23:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Heparin t0: [23:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 9 cv: 616 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 9 cv: 1366 ac: 24 ap: carryForward re: 0 id: PO/Gastric In Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU cv: 750 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 2340 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: -36 cv: -974 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: -36 cv: 1098.38 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: -36 cv: -36 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 2340 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] 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: [01:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#2 Cap Change t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: calprevflg t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [00:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Heparin t0: [00:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4355425 hi: 18838 t0: [03:00:00 27/02/2016] tf: [12:00:00 27/02/2016] mn: Diazepam pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Heart Rate t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Angio Site #1 t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Precautions t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [02:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Heparin t0: [02:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incentive Spirometry t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUE Temp/Color t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Assistance Device t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLE Temp/Color t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Spontaneous Movement t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Turn t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Po Intake t0: [03:00:00 27/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [03:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 38 vu: ml
id: Heparin t0: [03:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Heart Rate t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Angio Site #1 t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Precautions t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] 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: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Side Rails t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [04:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Heparin t0: [04:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 27/02/2016] el: 0 cg: CoWker cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] 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: [06:00:00 27/02/2016] 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: [06:30:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [06:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Heparin t0: [05:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:30:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Diet Type t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Eye Opening t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pupil Response R/L t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Pattern t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: D5W 100.0ml t0: [06:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Cough/Deep Breathe t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incentive Spirometry t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: WBC (4-11,000) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd id: WBC t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd id: Hematocrit t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.3 n1: 32.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 363 n1: 363 rs: Final st: NotStopd id: RBC t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.65 n1: 3.65 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.9 n1: 17.9 rs: Final st: NotStopd
id: PT t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: INR t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 54.4 n1: 54.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: PTT(22-35) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 54.4 n1: 54.4 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: BUN t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Code Status t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Chloride t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Potassium t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Diet Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: BUN (6-20) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Carbon Dioxide t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Pt./Family Informed t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Creatinine (0-1.3) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Bowel Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Glucose (70-105) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Braden Activity t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Sodium (135-148) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [08:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Heparin t0: [08:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Po Intake t0: [08:00:00 27/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 420 vu: ml
pi: 4355800 hi: 18838 t0: [10:00:00 27/02/2016] tf: [09:00:00 28/02/2016] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4355820 hi: 18838 t0: [10:00:00 27/02/2016] tf: [09:00:00 29/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4355821 hi: 18838 t0: [10:00:00 27/02/2016] tf: [12:00:00 27/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 10 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: Albumin t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Albumin (>3.2) t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd
pi: 4356244 hi: 18838 t0: [08:00:00 28/02/2016] tf: [14:00:00 27/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
id: Service Type t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough Effort t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 27/02/2016] 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: [10:30:00 27/02/2016] 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: [11:00:00 27/02/2016] 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: [11:45:00 27/02/2016] 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: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [10:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 36 vu: ml id: Urine Out Foley t0: [12:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 800 vu: ml
id: Heparin t0: [09:45:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:30:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:45:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: O2 Delivery Device t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd
pi: 4356444 hi: 18838 t0: [15:00:00 27/02/2016] tf: [08:00:00 29/02/2016] mn: Linezolid pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 4, 16 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] 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: [14:15:00 27/02/2016] 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: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 27/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 306 vu: ml id: D5W 100.0ml t0: [12:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [14:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Heparin t0: [13:15:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:15:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU cv: 776 ac: 24 ap: none re: 0
id: Total Bili t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Differential-Bands t0: [06:30:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd
id: Pain Present t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Reflex t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Cough Type t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 27/02/2016] 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: [16:15:00 27/02/2016] 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: [16:30:00 27/02/2016] 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: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 300 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [16:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Heparin t0: [15:30:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:15:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:30:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4356695 hi: 18838 t0: [18:00:00 27/02/2016] tf: [17:00:00 28/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] 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: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [17:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [18:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Pain Present t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [20:00:00 27/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] 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: [19:00:00 27/02/2016] 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: [20:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [20:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml
id: Heparin t0: [18:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 163 n1: 163 rs: Final st: NotStopd id: Potassium t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Carbon Dioxide t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 163 n1: 163 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [22:13:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] 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 27/02/2016] 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 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] 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 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [21:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Heparin t0: [21:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 200 cv: 2788 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 200 cv: 2788 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [00:00:00 28/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [00:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [00:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 18 cv: 1016 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 18 cv: 1792 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: -182 cv: -996 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: -182 cv: 102.376 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: -182 cv: -182 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] 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: [02:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [02:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Heparin t0: [01:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml
id: Heparin t0: [03:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough Reflex t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Follows Commands t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Gag Reflex t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Response R/L t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Size R/L t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Responds to Stimuli t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Spontaneous Movement t0: [04:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Daily Wake Up t0: [04:00:00 28/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] 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: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [04:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Heparin t0: [04:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] 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: [06:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 28/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [05:00:00 28/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 300 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [06:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Heparin t0: [05:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: INV#2 Tubing Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd
id: BUN t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Albumin t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Calcium t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 226 n1: 226 rs: Final st: NotStopd id: Magnesium t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Albumin (>3.2) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: BUN (6-20) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 226 n1: 226 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: WBC t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: Hematocrit t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 33.3 n1: 33.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 372 n1: 372 rs: Final st: NotStopd id: RBC t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.72 n1: 3.72 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.7 n1: 14.7 rs: Final st: NotStopd
pi: 4357535 hi: 18838 t0: [08:00:00 28/02/2016] tf: [07:00:00 29/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4357537 hi: 18838 t0: [10:00:00 28/02/2016] tf: [09:00:00 28/02/2016] mn: Metoprolol XL pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: PT t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.3 n1: 30.3 rs: Final st: NotStopd id: INR t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:56:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.3 n1: 30.3 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Level of Conscious t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [08:00:00 28/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [08:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Heparin t0: [08:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4357813 hi: 18838 t0: [20:00:00 28/02/2016] tf: [15:00:00 29/02/2016] 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: 4357814 hi: 18838 t0: [22:00:00 28/02/2016] tf: [08:00:00 29/02/2016] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4357815 hi: 18838 t0: [22:00:00 28/02/2016] tf: [09:00:00 02/03/2016] mn: Olanzapine pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:16:00 28/02/2016] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] 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: [10:45:00 28/02/2016] 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: [11:15:00 28/02/2016] 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: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 28/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 18 vu: ml id: Urine Out Foley t0: [10:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Heparin t0: [09:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:45:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:15:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Assistance Device t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] 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: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [12:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml
pi: 4358582 hi: 18838 t0: [17:00:00 28/02/2016] tf: [18:00:00 02/03/2016] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Cough Effort t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Cough Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Diet Type t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Orientation t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:15:00 28/02/2016] 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: [13:45:00 28/02/2016] 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: [15:00:00 28/02/2016] 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: [15:45:00 28/02/2016] 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: [16:30:00 28/02/2016] 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: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: INV#2 Cap Change t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Verbal Response t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 28/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: D5W 100.0ml t0: [16:00:00 28/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [16:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Service Type t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] 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: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: Potassium t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Carbon Dioxide t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:15:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Po Intake t0: [18:00:00 28/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml
pi: 4358844 hi: 18838 t0: [21:00:00 28/02/2016] tf: [20:00:00 29/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Daily Wake Up t0: [20:00:00 28/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Assistance Device t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] 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: [19:00:00 28/02/2016] 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: [20:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [20:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 28/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [21:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 899 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rhythm t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] 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: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/02/2016] 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: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Daily Wake Up t0: [00:00:00 29/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Assistance Device t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [00:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 600 vu: ml id: Urine Out Foley t0: [22:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 2460 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 2460 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 29/02/2016] el: 0 cg: CoWker cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd
id: NBP t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: Service Type t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Service Type t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] 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: [03:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Daily Wake Up t0: [04:00:00 29/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Location t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Assistance Device t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] 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: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [04:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [04:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: WBC (4-11,000) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: WBC t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: Hematocrit t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.3 n1: 29.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 305 n1: 305 rs: Final st: NotStopd id: RBC t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.32 n1: 3.32 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.8 n1: 12.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Assistance Device t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [05:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: BUN t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 rs: Final st: NotStopd id: Potassium t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd
id: PT t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 40.1 n1: 40.1 rs: Final st: NotStopd id: INR t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 40.1 n1: 40.1 rs: Final st: NotStopd
pi: 4359355 hi: 18838 t0: [08:00:00 29/02/2016] tf: [07:00:00 01/03/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 1 di: Days xv: 36 xu: Hours pi: 4359356 hi: 18838 t0: [08:00:00 29/02/2016] tf: [07:00:00 01/03/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 1 di: Days xv: 36 xu: Hours
id: Service Type t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] 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: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Po Intake t0: [06:00:00 29/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: Po Intake t0: [20:00:00 28/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml
id: 24h Total In t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 1599 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 700 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: -861 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: -758.624 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: LUE Temp/Color t0: [08:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Appearance #1 t0: [08:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Appearance #2 t0: [08:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Site #1 t0: [08:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Site #2 t0: [08:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RLE Temp/Color t0: [08:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4359542 hi: 18838 t0: [09:00:00 29/02/2016] tf: [08:00:00 01/03/2016] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4359547 hi: 18838 t0: [09:00:00 29/02/2016] tf: [18:00:00 02/03/2016] mn: Linezolid pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Level of Conscious t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: INV#2 Cap Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [08:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: O2 Delivery Device t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: SpO2 t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd
id: Magnesium t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:57:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd
id: Po Intake t0: [08:00:00 29/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
pi: 4359552 hi: 18838 t0: [10:00:00 29/02/2016] tf: [08:00:00 01/03/2016] mn: Furosemide pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] 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: [10:30:00 29/02/2016] 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: [11:15:00 29/02/2016] 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: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Pain Present t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: DONE id: Service Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Cough Effort t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Cough/Deep Breathe t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Incentive Spirometry t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] 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: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Effort t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 35.3333 n1: 35.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 95.6 n1: 95.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [12:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Fingerstick Glucose t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
pi: 4360137 hi: 18838 t0: [20:00:00 29/02/2016] tf: [08:00:00 01/03/2016] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] 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: [14:00:00 29/02/2016] 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: [15:00:00 29/02/2016] 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: [16:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [14:00:00 29/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [16:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: SpO2 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd
id: Service Type t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [16:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [16:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [16:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: NBP t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Assistance Device t0: [16:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] 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: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Therapeutic Bed t0: [16:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Color/Consist t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Color/Consist t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Stool Guaiac t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
id: Stool Out Stool t0: [12:00:00 29/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Stool Out Stool t0: [14:00:00 29/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Large
id: Hematocrit t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 34.5 n1: 34.5 u1: % rs: Final st: NotStopd
id: PT t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 34.7 n1: 34.7 rs: Final st: NotStopd id: INR t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: PTT t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 35.9 n1: 35.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 34.7 n1: 34.7 rs: Final st: NotStopd id: PTT(22-35) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 35.9 n1: 35.9 rs: Final st: NotStopd
id: BUN t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Potassium t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:49:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: NBP t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Position t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Stool Color/Consist t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Therapeutic Bed t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 29/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 360 vu: ml id: Stool Out Stool t0: [18:00:00 29/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [18:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: INV#2Chg o/Wire Date t0: [19:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Site Date t0: [19:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr io: .9% Normal Saline 1000.0ml el: 3 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Packed RBC's t0: [19:00:00 29/02/2016] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/02/2016] 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: [20:00:00 29/02/2016] 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: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Insulin Guideline t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/02/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Pain Present t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Eye Opening t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Level of Conscious t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Orientation t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Turn t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Verbal Response t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/02/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: Stool Out Stool t0: [21:00:00 29/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Large id: Urine Out Foley t0: [21:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 85 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU cv: 710 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: HOB t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: NBP t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] 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 29/02/2016] 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: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] 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 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Total Hourly Output t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 140 cv: 2075 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 140 cv: 2075 ac: 24 ap: carryForward re: 0
id: Temp. Site t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 rs: Manual st: NotStopd
id: Extubation Date t0: [01:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: FiO2 Set t0: [01:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Type t0: [01:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Intubation Date t0: [01:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Mixed Venous O2% Sat t0: [01:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Incentive Spirometry t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] 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: [01:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Behavior t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Behavior t0: [19:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Behavior t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Behavior t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Insulin Guideline t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [00:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: Po Intake t0: [21:00:00 29/02/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 160 vu: ml
id: 24h Total In t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU cv: 1810 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU cv: 1100 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: -140 cv: -265 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: -140 cv: -1023.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: -140 cv: -140 ac: 1 ap: none re: 0
id: Po Intake t0: [01:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Pain Present t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Topic #1 t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Orientation t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Source t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Urine Out Foley t0: [03:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Incontinent t0: [03:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Large
id: Service Type t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: NBP t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] 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: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 01/03/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/03/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/03/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Urine Out Foley t0: [04:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: WBC (4-11,000) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: WBC t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Hematocrit t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 33.3 n1: 33.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 373 n1: 373 rs: Final st: NotStopd id: RBC t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [04:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/03/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: PT t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 33.3 n1: 33.3 rs: Final st: NotStopd id: INR t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: PTT t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 35.9 n1: 35.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 33.3 n1: 33.3 rs: Final st: NotStopd id: PTT(22-35) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 35.9 n1: 35.9 rs: Final st: NotStopd
id: Urine Out Foley t0: [05:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: BUN t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Magnesium t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:23:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] 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: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/03/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Urine Out Incontinent t0: [07:00:00 01/03/2016] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Stool Out Stool t0: [06:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Incontinent t0: [06:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml
id: Service Type t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] 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: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4361273 hi: 18838 t0: [10:00:00 01/03/2016] tf: [18:00:00 02/03/2016] mn: Metoprolol XL pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4361274 hi: 18838 t0: [10:00:00 01/03/2016] tf: [18:00:00 02/03/2016] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4361275 hi: 18838 t0: [10:00:00 01/03/2016] tf: [18:00:00 02/03/2016] mn: Digoxin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Temp. Site t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 01/03/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/03/2016] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0
id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/03/2016] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/03/2016] el: 3 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] 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: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
pi: 4361754 hi: 18838 t0: [12:00:00 01/03/2016] tf: [12:00:00 02/03/2016] mn: Influenza Virus Vaccine pt: Unit Dose st: Expired rt: IM fr: ASDIR dt: 24 di: Hours xv: 36 xu: Hours
id: Fingerstick Glucose t0: [11:00:00 01/03/2016] el: 0 cg: CoWker cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Service Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] 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: [11:00:00 01/03/2016] 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: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
pi: 4361887 hi: 18838 t0: [10:00:00 01/03/2016] tf: [18:00:00 02/03/2016] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] 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: [13:00:00 01/03/2016] 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: [14:00:00 01/03/2016] 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: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [13:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [14:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Service Type t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Temp. Site t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough Effort t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Effort t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Effort t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Diet Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Diet Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Eye Opening t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Orientation t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Orientation t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Effort t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Effort t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: GCS Total t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Verbal Response t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 01/03/2016] el: 0 cg: CoWker cu: CCU v1: 115 n1: 115 rs: Manual st: NotStopd
id: INV Line#2 D/C Date t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [17:00:00 01/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: SpO2 t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Education Topic #1 t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: INV Line#2 D/C Date t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: Activity t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Oral Care t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: Side Rails t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 21 n2: 21 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 24 n2: 24 st: NotStopd id: Back Care t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: IV #1 Insert Date t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Service Type t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] 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: [18:00:00 01/03/2016] 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: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [17:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Void t0: [18:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: NBP t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd
id: O2 Delivery Device t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Stool Out Stool t0: [19:00:00 01/03/2016] el: 1 cg: CoWker cu: CCU vu: ml es: Small
id: Service Type t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 01/03/2016] 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: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough Effort t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Education Barrier t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: IV #1 Insert Date t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: IV Site Appear #1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Restraint Location t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraints Evaluated t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Pt./Family Informed t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Void t0: [19:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Service Type t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] 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 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/03/2016] 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: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: O2 Delivery Device t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Diet Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Eye Opening t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Respiratory Pattern t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Po Intake t0: [20:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml
id: Urine Out Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 2050 ac: 24 ap: carryForward re: 0
id: Service Type t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] 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: [01:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 01/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: Stool Out Stool t0: [22:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Void t0: [00:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Void t0: [22:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: 24h Total In t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 1240 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 1090 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: -810 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: -1833.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 2050 ac: 24 ap: carryForward re: 0
id: Cough Effort t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Education Barrier t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Abdominal Assessment t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Side Rails t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Stool Color/Consist t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Support Systems t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Pt./Family Informed t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd id: Bowel Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Activity t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Activity t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Activity t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: Activity Tolerance t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Assistance Device t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: IV #1 Insert Date t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Pain Present t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pain Location t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Therapeutic Bed t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd
id: NBP t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd
id: Service Type t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Health Care Proxy t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] 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 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Cough Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Productive st: NotStopd id: Diet Type t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Level of Conscious t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd
id: Stool Out Stool t0: [03:00:00 02/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Void t0: [03:00:00 02/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small
id: Stool Out Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Less Restrict Meas. t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Education Topic #1 t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Side Rails t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Cough/Deep Breathe t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Activity t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Therapeutic Bed t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd
id: Ectopy Frequency t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd
id: Ectopy Frequency t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd
id: Service Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: WBC t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd id: Hematocrit t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 36.8 n1: 36.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 12.6 n1: 12.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 405 n1: 405 rs: Final st: NotStopd id: RBC t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.19 n1: 4.19 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.7 n1: 13.7 rs: Final st: NotStopd
pi: 4364116 hi: 18838 t0: [22:00:00 02/03/2016] tf: [18:00:00 02/03/2016] mn: Warfarin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: PT t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 28.5 n1: 28.5 rs: Final st: NotStopd id: INR t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 28.5 n1: 28.5 rs: Final st: NotStopd
id: BUN t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Potassium t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Carbon Dioxide t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:28:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] 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: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough Effort t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Eye Opening t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: RLL Lung Sounds t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Education Barrier t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Family Communication t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Side Rails t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Pain Present t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: IV #1 Insert Date t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: IV Site Appear #1 t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Pain Location t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Assistance Device t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Opening t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
pi: 4364375 hi: 18838 t0: [10:00:00 02/03/2016] tf: [18:00:00 02/03/2016] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q24H ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: NBP t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] 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: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 02/03/2016] el: 1 ai: 103 cg: RN cu: CCU vo: 250 vu: ml
id: 24h Total In t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 250 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 250 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Activity t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] 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: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Heart Rate t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] 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: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: done id: Pain Assess Method t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Solid st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Handout t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Health Care Proxy t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Info Provided st: NotStopd id: Education Response t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Dischge Instruct st: NotStopd id: Eye Opening t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 27 n2: 27 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 26 n2: 26 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Incentive Spirometry t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] 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: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Effort t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Void t0: [09:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Total Hourly Output t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 350 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: -100 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: -1933.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: -1 cv: 350 ac: 24 ap: carryForward re: 0
ci: 36337 t0: [12:46:00 10/02/2016] cu: CCU di: Other Facility dt: 33200