This log is also available as text (232cc.txt) and as a (binary) annotation file (232cc.log).
Generated: Thursday, 23-Apr-2009 00:35:59 EDT
(All dates below are surrogates.)
id: Pain Present t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [19:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Code Status t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [19:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: GU Cath Insert Date t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: Heart Rate t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incentive Spirometry t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: LLE Temp/Color t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [19:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Assistance Device t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 18/09/2018] 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 18/09/2018] el: 0 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 18/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [19:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [20:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline t0: [20:00:00 18/09/2018] el: 2 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 18/09/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Service Type t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 18/09/2018] 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: [21:00:00 18/09/2018] el: 0 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 18/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 18/09/2018] 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 18/09/2018] el: 0 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 18/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd id: Respiratory Rate t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 18/09/2018] el: 2 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline t0: [22:00:00 18/09/2018] el: 2 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 18/09/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 18/09/2018] el: 2 cg: RN cu: CCU cv: 550 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Arterial BP t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 18/09/2018] 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: [23:00:00 18/09/2018] el: 0 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 18/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 19/09/2018] el: 2 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Code Status t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: Heart Rate t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Incision/Wound #1 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Orientation t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 19/09/2018] 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 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Source t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [00:00:00 19/09/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [00:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 200 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 1020 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [01:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 19/09/2018] 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 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 1255 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: -435 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 2045.8 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: CCU cv: 1455 ac: 24 ap: none re: 0
id: Activity t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Therapeutic Bed t0: [00:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Pain Present t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Code Status t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Topic #1 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: GU Cath Insert Date t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: Heart Rate t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV Line#4SiteAppear t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Level of Conscious t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [22:00:00 18/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Angio Site #1 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#4 Dsg Change t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 19/09/2018] 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 19/09/2018] 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 19/09/2018] 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 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV#4 Tubing Change t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: Urine Source t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Urine Out Foley t0: [04:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 19/09/2018] 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: [05:00:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 19/09/2018] 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 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tube Site #1 t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Diet Type t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: Activity t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: LLE Temp/Color t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Orientation t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Temp. Site t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Turn t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: CT #1 Dressing t0: [06:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Urine Out Foley t0: [06:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: WBC (4-11,000) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: WBC t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 rs: Final st: NotStopd id: Hematocrit t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 34.2 n1: 34.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 86 n1: 86 rs: Final st: NotStopd id: RBC t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 3.94 n1: 3.94 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 rs: Final st: NotStopd
id: Temperature C t0: [08:00:00 19/09/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Temperature F (calc) t0: [08:00:00 19/09/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Code Status t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 19/09/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Eye Opening t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: HOB t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV Line#4SiteAppear t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#4 WaveformAppear t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: LL Strength/Movement t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LLE Temp/Color t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 19/09/2018] 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: [08:00:00 19/09/2018] 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 19/09/2018] 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 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLE Temp/Color t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [08:00:00 19/09/2018] el: 2 ai: 103 cg: RN cu: CCU vo: 40 vu: ml id: D5W 100.0ml t0: [08:00:00 19/09/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 190 vu: ml
id: BUN t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Magnesium t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: PT t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: INR t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: PTT(22-35) t0: [06:08:00 19/09/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd
id: HOB Measurement t0: [09:00:00 19/09/2018] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4055009 hi: 27033 t0: [10:00:00 19/09/2018] tf: [08:00:00 20/09/2018] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4055010 hi: 27033 t0: [10:00:00 19/09/2018] tf: [08:00:00 20/09/2018] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: bath t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done id: Cough/Deep Breathe t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#2 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Drainage/Amt #2 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: O2 Delivery Device t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: Temp. Site t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Turn t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [08:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Po Intake t0: [08:30:00 19/09/2018] el: 2 ai: 103 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Health Care Proxy t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 19/09/2018] 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: [09:05:00 19/09/2018] 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 19/09/2018] 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: [09:05:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:05:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [09:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Arterial BP t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: calprevflg t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 19/09/2018] el: 2 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [10:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Activity Tolerance t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Assistance Device t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: calprevflg t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 115 vu: ml
id: Stool Out Stool t0: [11:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Stool Out Total t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: -1 cv: 200 ac: 24 ap: none re: 0
id: Pain Present t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Code Status t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [12:00:00 19/09/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Education Response t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 15 n2: 15 st: NotStopd id: HOB t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 19 n2: 19 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Closure/Appear#2 t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #2 t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Inc Dsg/Status #2 t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status #2 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incentive Spirometry t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sternum st: NotStopd id: Incision/Wound #2 t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Incision/Wound #2 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: LL Strength/Movement t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LLE Temp/Color t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUE Temp/Color t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Precautions t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLE Temp/Color t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Integrity t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: Support Systems t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#4 Cap Change t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Turn t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [10:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd id: CT #1 Dressing t0: [12:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Urine Out Foley t0: [12:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Service Type t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: HOB t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Arterial BP t0: [13:00:00 19/09/2018] 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: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Back Care t0: [11:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 19/09/2018] el: 2 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
id: PO/Gastric In Total t0: [23:00:00 19/09/2018] el: 2 cg: RN cu: -1 cv: 820 ac: 24 ap: none re: 0
id: Service Type t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [13:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 19/09/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml
ci: 35283 t0: [21:20:00 17/09/2018] cu: CCU de: Regular ward dt: 5368
id: Service Type t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Unable st: NotStopd id: Heart Rate t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#4 Type/Site t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV Line#4SiteAppear t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: NBP t0: [14:35:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [14:35:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 19/09/2018] 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: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#4 Dsg Change t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:30:00 19/09/2018] el: 0 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 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: INV#4 Cap Change t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: INV#4 Tubing Change t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [14:30:00 19/09/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV Line#4 Type/Site t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV Line#4 Zero/Cal t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV Line#4InsertDate t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV Line#4SiteAppear t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV#4 WaveformAppear t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV#4 Dsg Change t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV#4 Cap Change t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd id: INV#4 Tubing Change t0: [15:01:00 19/09/2018] el: 0 cg: -1 cu: -1 st: D/C'd
pi: 4056329 hi: 27033 t0: [17:00:00 19/09/2018] tf: [00:00:00 22/09/2018] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4056330 hi: 27033 t0: [17:00:00 19/09/2018] tf: [00:00:00 22/09/2018] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 17, 5 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4056331 hi: 27033 t0: [20:00:00 19/09/2018] tf: [09:00:00 20/09/2018] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4058658 hi: 27033 t0: [10:00:00 20/09/2018] tf: [09:00:00 21/09/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4058666 hi: 27033 t0: [12:00:00 20/09/2018] tf: [00:00:00 22/09/2018] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4058667 hi: 27033 t0: [10:00:00 20/09/2018] tf: [00:00:00 22/09/2018] 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: 4058668 hi: 27033 t0: [10:00:00 20/09/2018] tf: [00:00:00 22/09/2018] 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: 4058669 hi: 27033 t0: [10:00:00 20/09/2018] tf: [00:00:00 22/09/2018] mn: Pneumococcal Vac Polyvalent pt: Unit Dose st: Discontinued via patient discharge rt: IM fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4062598 hi: 27033 t0: [11:00:00 21/09/2018] tf: [00:00:00 22/09/2018] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4062599 hi: 27033 t0: [10:00:00 21/09/2018] tf: [00:00:00 22/09/2018] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours