This log is also available as text (228cc.txt) and as a (binary) annotation file (228cc.log).
Generated: Thursday, 23-Apr-2009 00:35:57 EDT
(All dates below are surrogates.)
id: GI#1 Intub Site t0: [15:00:00 26/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [15:00:00 26/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [15:00:00 26/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [15:00:00 26/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/11/2019] 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 26/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/11/2019] 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 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [16:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 18.08 vu: ml id: .45% Normal Saline 1000.0ml t0: [16:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 26/11/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Integrelin t0: [16:00:00 26/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 26/11/2019] el: 0 cg: CoWker cu: CCU v1: 113 n1: 113 rs: Manual st: NotStopd
id: Code Status t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [17:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 18.08 vu: ml id: .45% Normal Saline 1000.0ml t0: [17:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml
id: Integrelin t0: [17:00:00 26/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml + 75mcgkgmin Integrelin t0: [18:00:00 26/11/2019] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Riker-SAS Scale t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [18:00:00 26/11/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: FiO2 Set t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Manual BP t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 98.6667 n1: 98.6667 u1: mmHg st: NotStopd id: NBP t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Respiratory Rate t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hematocrit t0: [17:43:00 26/11/2019] el: 0 cg: 1663 cu: CCU v1: 31.6 n1: 31.6 u1: % rs: Final st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [18:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml
id: Integrelin t0: [18:00:00 26/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 100 su: ml rt: IV Drip st: Stopped
id: CPK/MB t0: [17:43:00 26/11/2019] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
pi: 4234312 hi: 24790 t0: [20:00:00 26/11/2019] tf: [10:00:00 28/11/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 26/11/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Readiness t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Follows Commands t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: HOB t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Location t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/11/2019] 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 26/11/2019] 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 26/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/11/2019] 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 26/11/2019] 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 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [20:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [19:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 100 vu: ml id: Gastric Meds t0: [21:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 26/11/2019] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: PO/Gastric In Total t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU cv: 260 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 26/11/2019] el: 0 cg: CoWker cu: CCU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Pain Present t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [23:00:00 26/11/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Location t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/11/2019] 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 26/11/2019] 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 26/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/11/2019] 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 26/11/2019] 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 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [22:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [23:00:00 26/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 26/11/2019] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: IV Infusion In Total t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: 30 cv: 1553.28 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: 30 cv: 1813.28 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: 150 cv: 150 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: 150 cv: 1000 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: -120 cv: 813.28 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: -120 cv: 813.28 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: -120 cv: -120 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/11/2019] el: 2 cg: RN cu: CCU pv: 150 cv: 1000 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Position t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Precautions t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/11/2019] 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: [01:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [01:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml
id: Pain Present t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 27/11/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Orientation t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Location t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Verbal Response t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [02:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [02:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 26/11/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Opening t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: HOB t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] 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 27/11/2019] 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: [05:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [04:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [04:00:00 27/11/2019] el: 2 ai: 189 cg: RN cu: CCU vo: 60 vu: ml id: Po Intake t0: [06:00:00 27/11/2019] el: 2 ai: 189 cg: RN cu: CCU vo: 60 vu: ml id: .45% Normal Saline 1000.0ml t0: [06:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Fingerstick Glucose t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 27/11/2019] el: 2 ai: 189 cg: RN cu: CCU vo: 120 vu: ml id: .45% Normal Saline 1000.0ml t0: [08:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: GI Prophylaxis t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: WBC (4-11,000) t0: [07:44:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: WBC t0: [07:44:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: Hematocrit t0: [07:44:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [07:44:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [07:44:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 284 n1: 284 rs: Final st: NotStopd id: RBC t0: [07:44:00 27/11/2019] 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: [07:44:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 10.1 n1: 10.1 rs: Final st: NotStopd
id: Service Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Family Communication t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Heart Rate t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Braden Activity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
pi: 4235623 hi: 24790 t0: [10:00:00 27/11/2019] tf: [20:00:00 29/11/2019] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4235627 hi: 24790 t0: [11:00:00 27/11/2019] tf: [10:00:00 29/11/2019] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4235656 hi: 24790 t0: [22:00:00 27/11/2019] tf: [10:00:00 29/11/2019] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: PT t0: [09:49:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: INR t0: [09:49:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [09:49:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 23.5 n1: 23.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [09:49:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [09:49:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: PTT(22-35) t0: [09:49:00 27/11/2019] el: 0 cg: 1663 cu: CCU v1: 23.5 n1: 23.5 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #3 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: Position t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] 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: [10:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 27/11/2019] el: 2 ai: 189 cg: RN cu: CCU vo: 80 vu: ml id: .45% Normal Saline 1000.0ml t0: [10:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [10:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: PO/Gastric In Total t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 320 ac: 24 ap: none re: 0
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
id: Follows Commands t0: [12:00:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Manual BP t0: [12:00:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Manual BP Mean(calc) t0: [12:00:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP t0: [12:00:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [12:00:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: Spontaneous Movement t0: [12:00:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Fingerstick Glucose t0: [12:00:00 27/11/2019] el: 0 cg: CoWker cu: CCU v1: 151 n1: 151 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 27/11/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: HOB t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Precautions t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Integrity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: Temp. Site t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Turn t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Excellent st: NotStopd id: Braden Score t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [12:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: LLL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd
id: Service Type t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: NBP t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 27/11/2019] 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: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 27/11/2019] 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: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:30:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [12:30:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 1350 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #1 D/C Date t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #1 Insert Date t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Hand v2: 22 gauge st: NotStopd id: IV #2 D/C Date t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: IV #2 Insert Date t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #2 t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd
id: Service Type t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [13:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 1350 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: O2 Delivery Device t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: lpm st: NotStopd
id: IV #1 D/C Date t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [14:01:00 27/11/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GU Cath Insert Date t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Heart Rate t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: lpm st: NotStopd id: Angio Site #1 t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Precautions t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] 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 27/11/2019] 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 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Source t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [12:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vu: ml st: Stopped id: .45% Normal Saline 1000.0ml t0: [13:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CCU vu: ml st: Stopped id: Urine Out Foley t0: [14:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: Heparin t0: [14:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 1350 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 27/11/2019] el: 1 cg: RN cu: CCU vo: 0 do: 1350 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 90 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 410 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 885 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: -475 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 338.28 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/11/2019] el: 2 cg: RN cu: -1 cv: 885 ac: 24 ap: none re: 0
ci: 37470 t0: [23:46:00 25/11/2019] cu: CCU de: Regular ward dt: 2399
pi: 4239486 hi: 24790 t0: [20:00:00 28/11/2019] tf: [06:00:00 29/11/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4240214 hi: 24790 t0: [16:00:00 28/11/2019] tf: [15:00:00 29/11/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4242199 hi: 24790 t0: [08:00:00 29/11/2019] tf: [20:00:00 29/11/2019] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4242200 hi: 24790 t0: [08:00:00 29/11/2019] tf: [20:00:00 29/11/2019] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours