This log is also available as text (233cc.txt) and as a (binary) annotation file (233cc.log).
Generated: Thursday, 23-Apr-2009 00:36:02 EDT
(All dates below are surrogates.)
id: Compliance (40-60ml) t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 26.1905 n1: 26.1905 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 585 n1: 585 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:25:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Absent v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#2 Cap Change t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [07:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [07:00:00 22/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [07:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [07:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
pi: 4223225 hi: 27651 t0: [10:00:00 22/12/2018] tf: [09:00:00 23/12/2018] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4223226 hi: 27651 t0: [10:00:00 22/12/2018] tf: [11:00:00 25/12/2018] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xu: Enter on Label pi: 4223227 hi: 27651 t0: [10:00:00 22/12/2018] tf: [09:00:00 23/12/2018] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Platelets t0: [05:10:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 rs: Final st: NotStopd
id: Service Type t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP Mean t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP Mean t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP Mean t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/12/2018] 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: [09:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [09:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [08:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 22.9167 n1: 22.9167 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 588 n1: 588 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:45:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Cardiac Index t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 3.03965 n1: 3.03965 u1: ... st: NotStopd id: Code Status t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Absent v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Education Topic #2 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Cardiac Echo st: NotStopd id: Procedures t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Pupil Response R/L t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Radiologic Study t0: [08:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SVR t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 614.493 n1: 614.493 u1: ... st: NotStopd id: SVRI t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1394.74 n1: 1394.74 u1: ... st: NotStopd id: Side Rails t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#2 Cap Change t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [10:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [12:00:00 22/12/2018] el: 1 cg: RN cu: CCU v1: done id: Bowel Sounds t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Hemoglobin t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 9.6 n1: 9.6 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 rs: Manual st: NotStopd id: C.O. (fick) t0: [11:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 6.89303 n1: 6.89303 u1: L/min st: NotStopd id: CT #1 Dressing t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [12:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [13:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Inc Closure/Appear#1 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Braden Activity t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4223908 hi: 27651 t0: [16:00:00 22/12/2018] tf: [15:00:00 24/12/2018] mn: Lactulose pt: Unit Dose st: Expired rt: PO fr: TID ds: 08, 16, 22 dn: 3 dt: 2 di: Days xv: 36 xu: Hours
id: Art.pH t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Potassium t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:22:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Absent v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP Mean t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/12/2018] 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 22/12/2018] 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 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [15:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [15:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [14:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#1 Cap Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#2 Cap Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd
id: Albumin t0: [14:26:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Albumin (>3.2) t0: [14:26:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 21.1538 n1: 21.1538 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 8.35 n1: 8.35 u1: L/min st: NotStopd id: PEEP Set t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 531 n1: 531 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:15:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Family Communication t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Oral Care t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Assistance Device t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [16:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Hematocrit t0: [16:35:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: 25.1 n1: 25.1 u1: % rs: Final st: NotStopd
id: Service Type t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Cardiac Index t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2.37885 n1: 2.37885 u1: ... st: NotStopd id: Code Status t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SVR t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 740.741 n1: 740.741 u1: ... st: NotStopd id: SVRI t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1680.67 n1: 1680.67 u1: ... st: NotStopd id: SpO2 t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 rs: Manual st: NotStopd id: C.O. (fick) t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 5.37992 n1: 5.37992 u1: L/min st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [17:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Significant Events t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [16:00:00 22/12/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml
id: Service Type t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Education Topic #1 t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Assistance Device t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [18:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Blood Products t0: [18:54:00 22/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Education Topic #1 t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: GU Cath Insert Date t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Incision/Wound #1 t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: PAP Mean t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Source t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [19:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [18:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [19:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [19:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4224569 hi: 27651 t0: [20:00:00 22/12/2018] tf: [08:00:00 24/12/2018] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Compliance (40-60ml) t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 28.9474 n1: 28.9474 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 1..2.8 st: NotStopd id: Airway Size t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 570 n1: 570 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 22/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: Code Status t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 22/12/2018] 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: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [19:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [19:30:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: Fentanyl t0: [19:30:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:30:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: PAP Mean t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/12/2018] 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: [21:00:00 22/12/2018] 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 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Temperature F t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:55:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [21:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Diet Type t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Therapeutic Bed t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [21:00:00 22/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 1 vu: ml
id: Service Type t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [22:00:00 22/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 22/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0.5 vu: ml
id: Fentanyl t0: [22:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [22:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU cv: 1139.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU cv: 1000 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU cv: 1000 ac: 24 ap: none re: 0
pi: 4224966 hi: 27651 t0: [00:00:00 23/12/2018] tf: [23:00:00 23/12/2018] mn: Digoxin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4224967 hi: 27651 t0: [10:00:00 23/12/2018] tf: [08:00:00 24/12/2018] mn: Digoxin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4224968 hi: 27651 t0: [10:00:00 23/12/2018] tf: [10:00:00 31/12/2018] mn: Digoxin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Ectopy Frequency t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Temp. Site t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [22:30:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [22:30:00 22/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 375 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU pv: 375 cv: 375 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [23:00:00 22/12/2018] el: 0 cg: CoWker cu: CCU v1: 101 n1: 101 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/12/2018] 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 22/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 22/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Micro-Neb Treatment t0: [00:00:00 23/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [22:00:00 22/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [00:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: Gastric Meds t0: [22:00:00 22/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [00:00:00 23/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 1.5 vu: ml
id: Fentanyl t0: [00:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [00:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: 24h Total In t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU pv: 375 cv: 1694.5 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU cv: 180 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU pv: 375 cv: 694.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU pv: 375 cv: 12216.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/12/2018] el: 2 cg: RN cu: CCU pv: 375 cv: 375 ac: 1 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 28.9474 n1: 28.9474 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1..2.8 st: NotStopd id: Airway Size t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: SaO2 t0: [00:13:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Hematocrit t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 28.6 n1: 28.6 u1: % rs: Final st: NotStopd
id: CaO2 t0: [00:13:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 12.8377 n1: 12.8377 u1: ml/dl st: NotStopd id: Cardiac Index t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2.15859 n1: 2.15859 u1: ... st: NotStopd id: DO2I t0: [00:13:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 280.8 n1: 280.8 u1: ml/m/m st: NotStopd id: SVR t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 881.633 n1: 881.633 u1: ... st: NotStopd id: SVRI t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2000 n1: 2000 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 rs: Manual st: NotStopd id: SaO2 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4.90171 n1: 4.90171 u1: L/min st: NotStopd
id: Calcium t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Magnesium t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:02:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/12/2018] 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: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
io: Nepro el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Less Restrict Meas. t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Urine Source t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Dressing t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [02:00:00 23/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [02:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd
id: Nepro t0: [02:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Service Type t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/12/2018] 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 23/12/2018] 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 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [04:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [04:00:00 23/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [03:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Topic #1 t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bath t0: [04:00:00 23/12/2018] el: 1 cg: RN cu: CCU v1: done id: Behavior t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Pt./Family Informed t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [04:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 26.1905 n1: 26.1905 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1..2.8 st: NotStopd id: Airway Size t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 539 n1: 539 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [05:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 23/12/2018] el: 0 cg: CoWker cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [06:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [06:00:00 23/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [06:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [06:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [06:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2.02643 n1: 2.02643 u1: ... st: NotStopd id: SVR t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1078.26 n1: 1078.26 u1: ... st: NotStopd id: SVRI t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2443.35 n1: 2443.35 u1: ... st: NotStopd id: SpO2 t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Mixed Venous O2% Sat t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 rs: Manual st: NotStopd id: C.O. (fick) t0: [06:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4.59535 n1: 4.59535 u1: L/min st: NotStopd
id: WBC (4-11,000) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 rs: Final st: NotStopd id: WBC t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 rs: Final st: NotStopd id: Hematocrit t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 30.4 n1: 30.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: RBC t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 rs: Final st: NotStopd
id: BUN t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: PT t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 33.4 n1: 33.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: PTT(22-35) t0: [06:11:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 33.4 n1: 33.4 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 30.5556 n1: 30.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU u1: . st: NotStopd id: Resp Rate (Spont) t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Source/Amt t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 556 n1: 556 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:45:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 23/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Absent v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: Incision/Wound #1 t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: PAP Mean t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/12/2018] 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 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [08:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [08:00:00 23/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [07:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [08:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4225864 hi: 27651 t0: [10:00:00 23/12/2018] tf: [09:00:00 28/12/2018] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours
id: RSBI Not Completed t0: [07:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: OR/Procedure st: NotStopd
id: Service Type t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: PAP Mean t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/12/2018] 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: [10:00:00 23/12/2018] 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 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [09:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 28.9474 n1: 28.9474 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:50:00 23/12/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: Packed RBC's t0: [12:00:00 23/12/2018] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: Fresh Frozen Plasma t0: [12:00:00 23/12/2018] el: 1 ai: 110 cg: -1 cu: CCU vo: 0 st: D/C'd id: Platelets t0: [12:00:00 23/12/2018] el: 1 ai: 109 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [12:00:00 23/12/2018] el: 2 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: Activity t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP Mean t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/12/2018] 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: [12:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [09:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: TF Residual t0: [08:00:00 23/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: Nepro t0: [10:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [12:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [10:00:00 23/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [10:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2 vu: ml
id: Fentanyl t0: [11:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [12:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Hematocrit t0: [12:20:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Cardiac Index t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2.15859 n1: 2.15859 u1: ... st: NotStopd id: Code Status t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Airway Size t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: PAP Mean t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SVR t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 897.959 n1: 897.959 u1: ... st: NotStopd id: SVRI t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2037.04 n1: 2037.04 u1: ... st: NotStopd id: SpO2 t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Ventilator Type t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 54 n1: 54 rs: Manual st: NotStopd id: C.O. (fick) t0: [12:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4.92451 n1: 4.92451 u1: L/min st: NotStopd
id: Fentanyl t0: [13:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [14:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 17.5 vu: ml id: Urine Out Foley t0: [14:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 2.5 vu: ml
id: Fentanyl t0: [14:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Education Topic #1 t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: Activity t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP Mean t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/12/2018] 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: [16:00:00 23/12/2018] 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: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [10:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 7 n2: 7 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [16:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: TF Residual t0: [15:00:00 23/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [15:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 40 vu: ml id: Nepro t0: [16:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [15:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 160 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 34.375 n1: 34.375 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Tan v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 604 n1: 604 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:05:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Urine Out Foley t0: [16:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: ETT Position Change t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Airway Size t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Sputum Color/Consist t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Ventilator Type t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [18:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 3 vu: ml
id: SpO2 t0: [18:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd
id: Pain Present t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 23/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [20:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 23.913 n1: 23.913 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 1..2.8 st: NotStopd id: Airway Size t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 23/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/12/2018] 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: [22:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Nepro t0: [20:00:00 23/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 60 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 23/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 23/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [21:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 608 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 1108 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 340 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 1135 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: PAP Mean t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 23/12/2018] 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 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Firm Distended st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#3 Dsg Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Therapeutic Bed t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Stool Out Stool t0: [22:00:00 23/12/2018] el: 1 cg: RN cu: CCU vu: ml es: Small
id: Stool Out Total t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: -27 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 12189.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/12/2018] el: 2 cg: RN cu: CCU cv: 1135 ac: 24 ap: carryForward re: 0
id: INV#2 Dsg Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Service Type t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/12/2018] 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: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 23/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 23/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd
id: Temp. Site t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd
id: Art.pH t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [23:36:00 23/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: CaO2 t0: [23:36:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 13.5474 n1: 13.5474 u1: ml/dl st: NotStopd id: Cardiac Index t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 2.90749 n1: 2.90749 u1: ... st: NotStopd id: DO2I t0: [23:36:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 407.4 n1: 407.4 u1: ml/m/m st: NotStopd id: SVR t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 751.515 n1: 751.515 u1: ... st: NotStopd id: SVRI t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 1704.47 n1: 1704.47 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 rs: Manual st: NotStopd id: SaO2 t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [23:00:00 23/12/2018] el: 0 cg: RN cu: CCU v1: 6.6173 n1: 6.6173 u1: L/min st: NotStopd
id: Service Type t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/12/2018] 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: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Blood Products t0: [01:36:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 1..2.8 st: NotStopd id: Airway Size t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 555 n1: 555 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:30:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 24/12/2018] 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 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Precautions t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: TF Residual t0: [02:00:00 24/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [02:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Respiratory Rate t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Less Restrict Meas. t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #1 t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 24/12/2018] 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: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [01:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Nutrition t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden Score t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [05:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Temp. Site t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [00:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Level of Conscious t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Urine Source t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 32.3529 n1: 32.3529 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: RSBI Not Completed t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: OR/Procedure st: NotStopd id: ETT Mark/Location t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 25cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 1..2.8 st: NotStopd id: Airway Size t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 606 n1: 606 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: PAP Mean t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/12/2018] 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 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.3 n1: 6.3 rs: Final st: NotStopd id: WBC t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.3 n1: 6.3 rs: Final st: NotStopd id: Hematocrit t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.99 n1: 2.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.3 n1: 6.3 rs: Final st: NotStopd
id: PT t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: INR t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.9 n1: 31.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: PTT(22-35) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.9 n1: 31.9 rs: Final st: NotStopd
id: BUN t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Magnesium t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd
id: Activity t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [04:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Sputum Color/Consist t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Turn t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 4 vu: ml
id: Fingerstick Glucose t0: [06:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Platelets t0: [05:25:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 rs: Final st: NotStopd
id: NBP Alarm (Lo/Hi) t0: [08:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4228000 hi: 27651 t0: [20:00:00 24/12/2018] tf: [17:00:00 09/01/2019] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4228001 hi: 27651 t0: [20:00:00 24/12/2018] tf: [17:00:00 09/01/2019] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 29.0323 n1: 29.0323 u1: units st: NotStopd id: FiO2 Set t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Inspired Gas Temp t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 8.95 n1: 8.95 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 29.0323 n1: 29.0323 u1: units st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:05:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 0.62 n1: 0.62 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 547 n1: 547 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [08:05:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: 535 n1: 535 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Mode t0: [08:05:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 24/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 24/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Incision/Wound #1 t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/12/2018] 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: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 4 vu: ml
id: Fentanyl t0: [08:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4228288 hi: 27651 t0: [10:00:00 24/12/2018] tf: [17:00:00 09/01/2019] mn: Clopidogrel Bisulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4228435 hi: 27651 t0: [11:00:00 24/12/2018] tf: [11:00:00 24/12/2018] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: CVP t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Cardiac Index t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Intub Site t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 D/C Date t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Type/Site t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3 Zero/Cal t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3InsertDate t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 WaveformAppear t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Mean t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP S/D t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Dsg Change t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: SVR t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Tubing Change t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O.(thermodilution) t0: [11:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 24/12/2018] el: 2 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 24/12/2018] el: 1 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4228589 hi: 27651 t0: [12:00:00 24/12/2018] tf: [11:00:00 25/12/2018] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: CaO2 t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.0578 n1: 12.0578 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: SaO2 t0: [11:07:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Learner t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Topic #1 t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: HOB t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: PAP Mean t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/12/2018] 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: [10:00:00 24/12/2018] 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: [11:00:00 24/12/2018] 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 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Turn t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: calprevflg t0: [09:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: TF Residual t0: [08:00:00 24/12/2018] el: 1 ai: 168 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [09:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 24/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [09:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [10:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 34 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 24/12/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [09:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 24/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: LLL Lung Sounds t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Arterial BP t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 24/12/2018] 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: [11:45:00 24/12/2018] 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: [12:00:00 24/12/2018] 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: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Significant Events t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Extubated st: NotStopd id: SpO2 t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Moderate st: NotStopd id: Urine Source t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [11:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [11:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Cough/Deep Breathe t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 D/C Date t0: [10:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Oral Care t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Temperature F (calc) t0: [12:00:00 24/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Fingerstick Glucose t0: [12:00:00 24/12/2018] el: 0 cg: CoWker cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Riker-SAS Scale t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: RLL Lung Sounds t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Skin Care t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: INV#1 Cap Change t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bath t0: [12:00:00 24/12/2018] el: 1 cg: RN cu: CCU v1: Done id: Bowel Sounds t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [12:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Art.pH t0: [14:20:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:20:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:20:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:20:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:20:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:20:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Diet Type t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: HOB t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Oral Cavity t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd
id: Po Intake t0: [13:00:00 24/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: D5W 50.0ml t0: [13:00:00 24/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 50 vu: ml id: D5W 50.0ml t0: [14:00:00 24/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 48 vu: ml id: Urine Out Foley t0: [14:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Service Type t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: HOB t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/12/2018] 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: [14:00:00 24/12/2018] 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: [15:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Therapeutic Bed t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [13:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [15:00:00 24/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Alarms t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 24/12/2018] el: 0 cg: CoWker cu: CCU v1: 130 n1: 130 rs: Manual st: NotStopd
id: TF Residual t0: [18:00:00 24/12/2018] el: 1 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd id: Gastric Meds t0: [18:00:00 24/12/2018] el: 1 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd id: Nepro t0: [18:00:00 24/12/2018] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Incision/Wound #1 t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Assistance Device t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/12/2018] 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: [17:00:00 24/12/2018] 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: [18:00:00 24/12/2018] 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: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Stool Guaiac t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [16:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [18:00:00 24/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 48 vu: ml id: Urine Out Foley t0: [18:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Pain Present t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [20:00:00 24/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 24/12/2018] 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: [20:00:00 24/12/2018] 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: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd
id: Po Intake t0: [20:00:00 24/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: PO/Gastric In Total t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU cv: 660 ac: 24 ap: none re: 0
id: Art.pH t0: [20:35:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:35:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:35:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:35:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:35:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:35:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Hematocrit t0: [20:26:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd
id: Service Type t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Ectopy Frequency t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [20:45:00 24/12/2018] 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: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 24/12/2018] 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: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [20:45:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [20:45:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
pi: 4230669 hi: 27651 t0: [22:00:00 24/12/2018] tf: [21:00:00 25/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4230670 hi: 27651 t0: [22:00:00 24/12/2018] tf: [21:00:00 25/12/2018] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Magnesium t0: [20:21:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Potassium t0: [20:21:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:21:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:21:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd
id: Urine Out Foley t0: [21:30:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: O2 Delivery Device t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [21:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: SpO2 t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [21:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: Ventilator Type t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
pi: 4230975 hi: 27651 t0: [20:00:00 24/12/2018] tf: [11:00:00 25/12/2018] 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: Service Type t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/12/2018] 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: [22:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Fingerstick Glucose t0: [22:00:00 24/12/2018] el: 0 cg: CoWker cu: CCU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Art.pH t0: [22:53:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:53:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:53:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:53:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:53:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 192 n1: 192 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:53:00 24/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 24/12/2018] 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 24/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 24/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: IV Infusion In Total t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: 10 cv: 430 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: 10 cv: 1090 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: 140 cv: 1525 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: -130 cv: -435 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: -130 cv: 11754.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: -130 cv: -130 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/12/2018] el: 2 cg: RN cu: CCU pv: 140 cv: 1525 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [23:30:00 24/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: O2 Delivery Device t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [23:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: SpO2 t0: [23:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [22:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Ventilator Type t0: [23:30:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [23:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/12/2018] 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: [01:00:00 25/12/2018] 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 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [01:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: GI Prophylaxis t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RUL Lung Sounds t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Therapeutic Bed t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:45:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Inc Closure/Appear#1 t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/12/2018] 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: [03:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [02:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU st: NotStopd id: Braden Activity t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 25/12/2018] 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: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 25/12/2018] 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: [05:00:00 25/12/2018] 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: [04:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [04:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: INV Line#1 Type/Site t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Temp. Site t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd
id: Art.pH t0: [05:37:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:37:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:37:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:37:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:37:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:37:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GU Cath Insert Date t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: LLL Lung Sounds t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Arterial BP t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 24/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 35.4444 n1: 35.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95.8 n1: 95.8 u1: Deg. F st: NotStopd id: Urine Source t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Dressing t0: [06:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: WBC (4-11,000) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: BUN t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Calcium t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: WBC t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: BUN (6-20) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 126 n1: 126 rs: Final st: NotStopd id: Hematocrit t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 28.7 n1: 28.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: RBC t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.09 n1: 3.09 u1: /mic l rs: Final st: NotStopd id: Sodium (135-148) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd
id: PT t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: INR t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.7 n1: 29.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: PTT(22-35) t0: [05:24:00 25/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.7 n1: 29.7 rs: Final st: NotStopd
pi: 4231510 hi: 27651 t0: [08:00:00 25/12/2018] tf: [07:00:00 26/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4231511 hi: 27651 t0: [08:00:00 25/12/2018] tf: [07:00:00 26/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Position t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/12/2018] 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: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Radiologic Study t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Ventilator Type t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [08:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 150 vu: ml id: D5W 50.0ml t0: [08:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [08:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Service Type t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: HOB t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Oral Care t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/12/2018] 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: [10:00:00 25/12/2018] 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 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [10:00:00 25/12/2018] el: 1 cg: RN cu: CCU v1: Done id: Braden Activity t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [08:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [10:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml
pi: 4232236 hi: 27651 t0: [12:00:00 25/12/2018] tf: [10:00:00 09/01/2019] mn: Pantoprazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q24H ds: 12 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4232237 hi: 27651 t0: [20:00:00 25/12/2018] tf: [14:00:00 26/12/2018] 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: Fingerstick Glucose t0: [12:00:00 25/12/2018] el: 0 cg: CoWker cu: CCU v1: 226 n1: 226 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [13:00:00 25/12/2018] el: 1 ai: 105 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 50.0ml t0: [13:00:00 25/12/2018] el: 2 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Incision/Wound #1 t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Assistance Device t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 25/12/2018] 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: [12:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [11:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 25/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU cv: 180 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [13:30:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:30:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Position t0: [13:30:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [13:30:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Guaiac t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:30:00 25/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:30:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [13:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Level of Conscious t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/12/2018] 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: [16:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [14:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [16:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [14:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [16:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: LLL Lung Sounds t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: CT #1 Dressing t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
pi: 4233638 hi: 27651 t0: [18:00:00 25/12/2018] tf: [17:00:00 26/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [17:00:00 25/12/2018] el: 0 cg: CoWker cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Activity t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 126 n2: 126 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Assistance Device t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/12/2018] 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: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [17:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incentive Spirometry t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/12/2018] 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: [20:00:00 25/12/2018] 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: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [18:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [20:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [20:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [20:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GU Cath Insert Date t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/12/2018] 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: [22:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Urine Source t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [21:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Po Intake t0: [22:00:00 25/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml
id: 24h Total In t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU cv: 1550 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU cv: 1370 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 25/12/2018] el: 0 cg: CoWker cu: CCU v1: 166 n1: 166 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/12/2018] 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 25/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 25/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 25/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU pv: 40 cv: 1215 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU pv: -40 cv: 335 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU pv: -40 cv: 12089.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU pv: -40 cv: -40 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/12/2018] el: 2 cg: RN cu: CCU pv: 40 cv: 1215 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GU Cath Insert Date t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: O2 Delivery Device t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Precautions t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Riker-SAS Scale t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [00:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Eye Opening t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Level of Conscious t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Assistance Device t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Skin Care t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Stool Guaiac t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Temp. Site t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Verbal Response t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bowel Sounds t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Urine Out Foley t0: [00:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Dorsal PedPulse R/L t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Red, Unbroken st: NotStopd id: PressSore Depth #1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd
id: Service Type t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/12/2018] 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: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GU Cath Insert Date t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Urine Color/Appear t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [02:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Precautions t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: calprevflg t0: [03:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GU Cath Insert Date t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Level of Conscious t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/12/2018] 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: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV Line#1InsertDate t0: [00:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd
id: Urine Out Foley t0: [03:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Pain Present t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Red, Unbroken st: NotStopd id: PressSore Drng/Amt#1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSoreTreatment#1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: PressSoreWoundBase#1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/12/2018] 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: [06:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Dressing t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [06:00:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [05:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: WBC (4-11,000) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: WBC t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: Hematocrit t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.9 n1: 27.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 rs: Final st: NotStopd
id: BUN t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: Magnesium t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: PT t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: INR t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.1 n1: 31.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: PTT(22-35) t0: [05:53:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.1 n1: 31.1 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: LLL Lung Sounds t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [06:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd
id: .9% Normal Saline 250.0ml t0: [06:00:00 26/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [06:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Service Type t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/12/2018] 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 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [07:00:00 26/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: HOB Measurement t0: [08:00:00 26/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [08:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/12/2018] 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: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Stool Guaiac t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [08:00:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml t0: [08:00:00 26/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: HOB t0: [08:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Activity t0: [08:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Activity Tolerance t0: [08:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [08:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Turn t0: [08:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd
id: Po Intake t0: [08:30:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml
id: Service Type t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP Mean t0: [08:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Through Dermis v2: No st: NotStopd id: PressSore Depth #1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: PressSore Wth/Lth #1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 cm v2: 1 cm st: NotStopd id: PressSoreCleansing#1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: PressSoreWoundBase#1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Turn t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: calprevflg t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [09:00:00 26/12/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped
id: IV Infusion In Total t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 110 ac: 24 ap: none re: 0
id: Pain Level t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [10:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incentive Spirometry t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Level of Conscious t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: O2 Delivery Device t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sitting Up st: NotStopd id: Pain Level (Rest) t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Location t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Type t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Through Dermis v2: No st: NotStopd id: PressSore Depth #1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: PressSore Wth/Lth #1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 cm v2: 2 cm st: NotStopd id: PressSoreCleansing#1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Previous Weight t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Therapeutic Bed t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: BSA - English t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1.54542 n1: 1.54542 u1: m2 st: NotStopd id: BSA - Metric t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1.79637 n1: 1.79637 u1: m2 st: NotStopd id: Back Care t0: [09:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Weight Change t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [10:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Bath t0: [09:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: Done
id: Urine Out Foley t0: [10:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Blood Products t0: [11:03:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Pupil Response R/L t0: [12:00:00 26/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Pupil Size R/L t0: [12:00:00 26/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4236095 hi: 27651 t0: [13:00:00 26/12/2018] tf: [14:00:00 26/12/2018] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label pi: 4236098 hi: 27651 t0: [13:00:00 26/12/2018] tf: [12:00:00 27/12/2018] mn: CefazoLIN pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [12:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incentive Spirometry t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/12/2018] 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: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [12:00:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml
id: Urine Out Foley t0: [12:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: calprevflg t0: [13:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd
pi: 4236331 hi: 27651 t0: [20:00:00 26/12/2018] tf: [20:00:00 26/12/2018] 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: 4236332 hi: 27651 t0: [15:00:00 26/12/2018] tf: [14:00:00 27/12/2018] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4236336 hi: 27651 t0: [15:00:00 26/12/2018] tf: [02:00:00 27/12/2018] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 75 ml/hr ir: 75 it: C ss: N di: Ongoing xu: Enter on Label
id: Service Type t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Products t0: [14:14:00 26/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Po Intake t0: [14:00:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [14:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: INV Line#1 Zero/Cal t0: [16:00:00 26/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Education Topic #2 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Pre-Op st: NotStopd id: Eye Opening t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Ambulate st: NotStopd id: Activity Tolerance t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Precautions t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Stool Guaiac t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Dressing t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [16:00:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [16:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Stool Guaiac t0: [15:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 26/12/2018] el: 0 cg: CoWker cu: CCU v1: 157 n1: 157 rs: Manual st: NotStopd
id: HOB t0: [17:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Activity t0: [17:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [17:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [17:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [17:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:30:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Service Type t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incentive Spirometry t0: [14:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [16:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: NBP t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Therapeutic Bed t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: HOB t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Activity t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: Stool Color/Consist t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [19:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
pi: 4237760 hi: 27651 t0: [20:00:00 26/12/2018] tf: [09:00:00 27/12/2018] 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 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Eye Opening t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [20:00:00 26/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 1210 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 1210 ac: 24 ap: none re: 0
id: Po Intake t0: [20:00:00 26/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml
id: 24h Total In t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 1010 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 900 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: -200 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 11889.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: Service Type t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP t0: [21:00:00 26/12/2018] 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: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough/Deep Breathe t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Education Topic #1 t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Activity t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Inc Dsg/Status #1 t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Pressure Sore Site#1 t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Side Rails t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Braden Activity t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Dressing t0: [20:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Service Type t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Turn t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
io: D5/.45NS el: 2 cg: RN cu: CCU ra: 60 ru: ml/hr
id: Pain Level/Response t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Cause t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [22:00:00 26/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [22:00:00 26/12/2018] el: 1 cg: RN cu: CCU v1: Repositioned st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Riker-SAS Scale t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Alarms t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: RLL Lung Sounds t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: D5/.45NS t0: [00:00:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Sputum Color/Consist t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Fingerstick Glucose t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 169 n1: 169 rs: Manual st: NotStopd
id: Po Intake t0: [00:00:00 27/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [00:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 180 vu: ml
pi: 4238541 hi: 27651 t0: [03:00:00 27/12/2018] tf: [02:00:00 27/12/2018] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4238542 hi: 27651 t0: [03:00:00 27/12/2018] tf: [17:00:00 09/01/2019] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4238543 hi: 27651 t0: [03:00:00 27/12/2018] tf: [17:00:00 09/01/2019] mn: Guaifenesin-Dextromethorphan pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4238551 hi: 27651 t0: [03:00:00 27/12/2018] tf: [02:00:00 28/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] 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: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [01:00:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 60 vu: ml id: D5/.45NS t0: [02:00:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Art.pH t0: [02:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:23:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: WBC t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: Hematocrit t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.1 n1: 29.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.13 n1: 3.13 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 rs: Final st: NotStopd
id: BUN t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 154 n1: 154 rs: Final st: NotStopd id: Magnesium t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 154 n1: 154 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: PT t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: INR t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.4 n1: 15.4 rs: Final st: NotStopd
id: PTT t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 rs: Final st: NotStopd id: PTT(22-35) t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GU Cath Insert Date t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Position t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Dressing t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: D5/.45NS t0: [02:30:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 30 vu: ml st: Stopped id: D5/.45NS t0: [03:00:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 0 vu: ml id: Fresh Frozen Plasma t0: [03:20:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 0 vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [03:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: IV Infusion In Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0
id: Service Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [02:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: calprevflg t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [04:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Platelets t0: [01:57:00 27/12/2018] el: 0 cg: 1663 cu: CCU v1: 75 n1: 75 rs: Final st: NotStopd
id: Diet Type t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35.2222 n1: 35.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95.4 n1: 95.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Service Type t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [05:00:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 295 vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [05:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Temp. Site t0: [04:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd
id: Service Type t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Fingerstick Glucose t0: [07:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Fresh Frozen Plasma t0: [06:00:00 27/12/2018] el: 2 ai: 823 cg: RN cu: CCU vo: 300 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 595 ac: 24 ap: none re: 0
pi: 4239158 hi: 27651 t0: [10:00:00 27/12/2018] tf: [09:00:00 28/12/2018] 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: 4239183 hi: 27651 t0: [16:00:00 27/12/2018] tf: [09:00:00 28/12/2018] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4239184 hi: 27651 t0: [20:00:00 27/12/2018] tf: [09:00:00 28/12/2018] 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: 4239196 hi: 27651 t0: [10:00:00 27/12/2018] tf: [23:00:00 27/12/2018] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label
id: Service Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] 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: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/12/2018] 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 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35.4444 n1: 35.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95.8 n1: 95.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [11:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 27/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml id: Stool Out Stool t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [10:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Stool Out Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [11:30:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 203 n1: 203 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Daily Wake Up t0: [08:00:00 27/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Topic #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Cath Insert Date t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: GU Catheter Size t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Urine Source t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Incision/Wound #1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Previous Weight t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] 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: [13:00:00 27/12/2018] 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: [14:00:00 27/12/2018] 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: [15:00:00 27/12/2018] 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: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [12:00:00 27/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml id: Po Intake t0: [15:00:00 27/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [16:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fingerstick Glucose t0: [17:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 194 n1: 194 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Precautions t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Arterial BP t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [18:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [18:00:00 27/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [18:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml
pi: 4240861 hi: 27651 t0: [19:00:00 27/12/2018] tf: [09:00:00 30/12/2018] mn: traZODONE HCl pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/12/2018] 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: [20:00:00 27/12/2018] 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: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/12/2018] 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 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4241473 hi: 27651 t0: [22:00:00 27/12/2018] tf: [21:00:00 28/12/2018] mn: Zolpidem Tartrate pt: Unit Dose st: Expired rt: PO fr: ONCE MR1 ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Cough/Deep Breathe t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Topic #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Steri-strip v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Bath t0: [20:00:00 27/12/2018] el: 1 cg: RN cu: CCU v1: done id: Bowel Sounds t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Po Intake t0: [21:00:00 27/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [21:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: 24h Total In t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 1755 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU cv: 1010 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [21:30:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Fingerstick Glucose t0: [22:00:00 27/12/2018] el: 0 cg: CoWker cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd
io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CCU ra: 75 ru: ml/hr io: Fresh Frozen Plasma 288.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
pi: 4241881 hi: 27651 t0: [01:00:00 28/12/2018] tf: [00:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Orientation t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 236 n1: 236 u1: mmHg st: NotStopd id: Position t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] 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: [22:00:00 27/12/2018] 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: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Dressing t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: Urine Out Foley t0: [00:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 27/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Total Hourly Output t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: 60 cv: 1650 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: -60 cv: 105 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: -60 cv: 11994.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: -60 cv: -60 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/12/2018] el: 2 cg: RN cu: CCU pv: 60 cv: 1650 ac: 24 ap: carryForward re: 0
id: Service Type t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 27/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GU Cath Insert Date t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [00:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: LLL Lung Sounds t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: O2 Delivery Device t0: [00:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [00:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Arterial BP t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [00:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Turn t0: [00:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Source t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [01:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: Fresh Frozen Plasma 288.0ml t0: [00:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: Fresh Frozen Plasma 288.0ml t0: [01:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 125 vu: ml uu: Units id: Urine Out Foley t0: [00:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Service Type t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Arterial BP t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: calprevflg t0: [01:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Service Type t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] 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: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Significant Events t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Resp Distress st: NotStopd id: SpO2 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:30:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 37.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 37.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:30:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 37.5 vu: ml st: Stopped id: Fresh Frozen Plasma 288.0ml t0: [01:30:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 62.5 vu: ml uu: Units id: Fresh Frozen Plasma 288.0ml t0: [02:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 62.5 vu: ml uu: Units id: Fresh Frozen Plasma 288.0ml t0: [02:30:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 62.5 vu: ml uu: Units
id: Urine Out Foley t0: [02:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Art.pH t0: [02:42:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:42:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:42:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:42:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:42:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 194 n1: 194 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:42:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Confused st: NotStopd id: Level of Conscious t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Orientation t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [03:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma 288.0ml t0: [03:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 62.5 vu: ml uu: Units id: Urine Out Foley t0: [03:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Service Type t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Education Topic #1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: HOB t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Level of Conscious t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: NBP t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Orientation t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 227 n1: 227 u1: mmHg st: NotStopd id: Position t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] 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: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 109.1 n1: 109.1 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [02:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [04:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma 288.0ml t0: [04:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 125 vu: ml uu: Units st: Stopped id: Urine Out Foley t0: [04:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [05:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: WBC (4-11,000) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: WBC t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Hematocrit t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.3 n1: 27.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.95 n1: 2.95 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd
pi: 4242207 hi: 27651 t0: [07:00:00 28/12/2018] tf: [06:00:00 29/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4242208 hi: 27651 t0: [07:00:00 28/12/2018] tf: [06:00:00 29/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: INR t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 28.5 n1: 28.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: PTT(22-35) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 28.5 n1: 28.5 rs: Final st: NotStopd
id: BUN t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Micro-Neb Treatment t0: [02:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: atrv st: NotStopd
id: Platelets t0: [04:53:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd
pi: 4242483 hi: 27651 t0: [16:00:00 28/12/2018] tf: [09:00:00 30/12/2018] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4242490 hi: 27651 t0: [20:00:00 28/12/2018] tf: [18:00:00 28/12/2018] 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: 4242491 hi: 27651 t0: [10:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4242514 hi: 27651 t0: [10:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Doses xv: 36 xu: Hours pi: 4242515 hi: 27651 t0: [10:00:00 30/12/2018] tf: [11:00:00 29/12/2018] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Doses xv: 36 xu: Hours pi: 4242516 hi: 27651 t0: [10:00:00 01/01/2019] tf: [11:00:00 29/12/2018] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Doses xv: 36 xu: Hours pi: 4242517 hi: 27651 t0: [10:00:00 03/01/2019] tf: [08:00:00 29/12/2018] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/12/2018] 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 28/12/2018] 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: [10:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/12/2018] 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 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [07:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [10:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [11:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU cv: 60 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 28/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Service Type t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Incision/Wound #1 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Source t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma 288.0ml t0: [12:45:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 0 vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [13:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Temp. Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [13:15:00 28/12/2018] el: 2 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: Platelets t0: [13:00:00 28/12/2018] el: 2 ai: 168 cg: RN cu: CCU vo: 242 vu: ml uu: Units
id: PT t0: [13:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: INR t0: [13:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [13:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [13:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd
id: Platelets t0: [13:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 rs: Final st: NotStopd
id: Art.pH t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 240 n1: 240 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: CaO2 t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 13.214 n1: 13.214 u1: ml/dl st: NotStopd id: Glucose t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Lactic Acid t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Hematocrit t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.07 n1: 1.07 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: SaO2 t0: [14:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Blood Products t0: [15:03:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Art.pH t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: CaO2 t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 12.7657 n1: 12.7657 u1: ml/dl st: NotStopd id: Glucose t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Lactic Acid t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Hematocrit t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.19 n1: 1.19 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: SaO2 t0: [15:34:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Fibrinogen t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 306 n1: 306 rs: Final st: NotStopd id: PTT t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.9 n1: 27.9 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 306 n1: 306 rs: Final st: NotStopd id: PTT(22-35) t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27.9 n1: 27.9 rs: Final st: NotStopd
id: PT t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: INR t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [15:30:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Precautions t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/12/2018] 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: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU v1: Hemodyn Instabil st: NotStopd id: FiO2 Set t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Arterial BP t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 200 cg: RN cu: CCU am: 500 du: mcgkgmin rt: IV Drip id: Dopamine io: D5W 250.0ml + 400mcgkgmin Dopamine el: 100 cg: RN cu: CCU am: 400 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol el: 2 cg: RN cu: CCU ra: 15 ru: ml/hr
id: Drain Out #1 JP Lateral t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Propofol t0: [18:00:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4244369 hi: 27651 t0: [19:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: Calcium Gluconate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4244370 hi: 27651 t0: [20:00:00 28/12/2018] tf: [09:00:00 30/12/2018] 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: 4244371 hi: 27651 t0: [10:00:00 28/12/2018] tf: [17:00:00 09/01/2019] mn: Ferrous Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4244447 hi: 27651 t0: [19:00:00 28/12/2018] tf: [21:00:00 28/12/2018] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4244448 hi: 27651 t0: [19:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: DOPamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 28/12/2018] el: 2 ai: 126 cg: RN cu: CCU vu: ml nb: 1
id: Level of Conscious t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/12/2018] el: 3 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Platelets t0: [18:00:00 28/12/2018] el: 2 ai: 168 cg: RN cu: CCU vo: 245 vu: ml uu: Units id: Fresh Frozen Plasma 288.0ml t0: [18:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 880 vu: ml uu: Units
id: Pre-Admission Intake t0: [18:00:00 28/12/2018] el: 2 ai: 199 cg: RN cu: CCU vo: 1500 vu: ml
id: Urine Out Foley t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 1680 vu: ml id: Pre-Admission Output Pre-Admission Output t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vu: ml
id: Chest Tubes Left Pleural 1 t0: [18:00:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 50 vu: ml id: Drain Out #2 Other t0: [18:00:00 28/12/2018] el: 1 cg: RN cu: CCU vu: ml
id: Compliance (40-60ml) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 15.1515 n1: 15.1515 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [18:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Chest Tube Out Total t0: [23:00:00 28/12/2018] el: 2 cg: RRT cu: CCU cv: 50 ac: 24 ap: none re: 0 id: Drain #2 Total Out t0: [23:00:00 28/12/2018] el: 2 cg: RRT cu: CCU cv: 0 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [19:00:00 28/12/2018] el: 0 cg: CoWker cu: CCU v1: 163 n1: 163 rs: Manual st: NotStopd
id: Art.pH t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: CaO2 t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.9716 n1: 11.9716 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Hematocrit t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 u1: % rs: Final st: NotStopd id: SaO2 t0: [18:46:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 u1: % rs: Final st: NotStopd
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 300 cg: RN cu: CCU am: 2500 du: mcghr rt: IV Drip
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 3 cg: RN cu: CCU ra: 5 ru: ml/hr
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 28/12/2018] el: 2 ai: 126 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4244511 hi: 27651 t0: [20:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4244536 hi: 27651 t0: [20:00:00 28/12/2018] tf: [08:00:00 29/12/2018] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BSA t0: [19:04:00 28/12/2018] el: 1033 cg: -1 cu: CCU v1: 2.26688 n1: 2.26688 u1: m2 id: Admit Wt t0: [19:04:00 28/12/2018] el: 1032 cg: -1 cu: CCU v1: 100 n1: 100 u1: kg id: Allergy 1 t0: [19:04:00 28/12/2018] el: 1020 cg: -1 cu: CCU v1: NKDA id: Diagnosis/op t0: [19:04:00 28/12/2018] el: 1023 cg: -1 cu: CCU v1: SHORTNESS OF BREATH id: Service t0: [19:04:00 28/12/2018] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [19:04:00 28/12/2018] el: 1034 cg: -1 cu: CCU v1: 71 n1: 71 u1: inches id: Readmission t0: [19:04:00 28/12/2018] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [19:04:00 28/12/2018] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [19:04:00 28/12/2018] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [19:04:00 28/12/2018] el: 1021 cg: -1 cu: CCU id: Ext t0: [19:04:00 28/12/2018] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [19:04:00 28/12/2018] el: 1022 cg: -1 cu: CCU
id: Less Restrict Meas. t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Alarms t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: GU Cath Insert Date t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [18:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Incision/Wound #1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Cavity t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [18:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 28/12/2018] 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: [18:25:00 28/12/2018] 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: [18:30:00 28/12/2018] 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: [18:40:00 28/12/2018] 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: [19:00:00 28/12/2018] 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: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Significant Events t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temperature C (calc) t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: Urine Source t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:15:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:25:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:40:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:45:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [18:00:00 28/12/2018] el: 2 ai: 416 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [19:00:00 28/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: Fresh Frozen Plasma 288.0ml t0: [19:00:00 28/12/2018] el: 1 ai: 823 cg: RN cu: CCU vo: 125 vu: ml uu: Units id: Drain Out #1 JP Lateral t0: [19:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Propofol t0: [18:15:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Propofol t0: [18:25:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:30:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:40:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:45:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:00:00 28/12/2018] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Dopamine t0: [18:15:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:25:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:30:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:40:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [18:45:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Drain #1 Total Out t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0
id: INV Line#1 Type/Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: INV Line#1 Type/Site t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: INV#1 Cap Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Urine Out Foley t0: [19:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Minute Volume(Obser) t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Type t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Hematocrit t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: /mic l rs: Final st: NotStopd
id: BUN t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: PT t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: Albumin t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Calcium t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 196 n1: 196 rs: Final st: NotStopd id: INR t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PTT t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 30.3 n1: 30.3 rs: Final st: NotStopd id: Phosphorous t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: ALT t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Albumin (>3.2) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: BUN (6-20) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 196 n1: 196 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.8 n1: 15.8 rs: Final st: NotStopd id: PTT(22-35) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 30.3 n1: 30.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 5.2 n1: 5.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: Fentanyl t0: [19:00:00 28/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Total Bili t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Differential-Bands t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: WBC t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.9 n1: 10.9 rs: Final st: NotStopd id: Platelets t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: WBC (4-11,000) t0: [18:58:00 28/12/2018] el: 0 cg: 1663 cu: CCU v1: 10.9 n1: 10.9 rs: Final st: NotStopd
id: Platelets t0: [20:00:00 28/12/2018] el: 2 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd id: Fresh Frozen Plasma 288.0ml t0: [20:00:00 28/12/2018] el: 1 ai: 823 cg: -1 cu: CCU vo: 0 st: D/C'd id: Drain Out #2 Other t0: [20:00:00 28/12/2018] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: High Insp. Pressure t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Apnea Time Interval t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [19:00:00 28/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Position t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Pt./Family Informed t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: CT #1 Dressing t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 28/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Fentanyl t0: [20:00:00 28/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU cv: 1992 ac: 24 ap: none re: 0
pi: 4244890 hi: 27651 t0: [22:00:00 28/12/2018] tf: [17:00:00 09/01/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/12/2018] 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: [22:00:00 28/12/2018] 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 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:00:00 28/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 28/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/12/2018] 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: [23:00:00 28/12/2018] 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 29/12/2018] 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 28/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 28/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 28/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 28/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [21:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [22:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 28/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Fentanyl t0: [00:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 28/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 200 cv: 4130 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 200 cv: 4300 ac: 24 ap: none re: 0
id: Art.pH t0: [00:07:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:07:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:07:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:07:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:07:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 354 n1: 354 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:07:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 29/12/2018] el: 0 cg: CoWker cu: CCU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 19.6429 n1: 19.6429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 11.3 n1: 11.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Level/Response t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Education Topic #1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Cause t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Chest st: NotStopd id: Pain Management t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: IV Push v2: IV Gtt st: NotStopd id: Pain Type t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP Mean t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Through Dermis v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSore Wth/Lth #1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 0.5 cm v2: 0.5 cm st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/12/2018] 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: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 28/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Drain Out #1 JP Lateral t0: [01:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [01:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 0-None st: NotStopd id: PainLevel Acceptable t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Level (Rest) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 0-None st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [23:00:00 28/12/2018] el: 2 ai: 416 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [02:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Fentanyl t0: [02:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 257.5 cv: 852.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 257.5 cv: 4404.5 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 57.5 cv: 104.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 57.5 cv: 12099.1 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/12/2018] el: 2 cg: RN cu: CCU pv: 57.5 cv: 57.5 ac: 1 ap: none re: 0
id: Pre-Admission Intake t0: [05:00:00 29/12/2018] el: 2 ai: 199 cg: -1 cu: CCU vo: 0 st: D/C'd id: Pre-Admission Output Pre-Admission Output t0: [05:00:00 29/12/2018] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Education Topic #1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Incent Spiromete st: NotStopd id: Eye Opening t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Level of Conscious t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Cause t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Chest st: NotStopd id: Pain Management t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Type t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/12/2018] 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 29/12/2018] 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: [05:00:00 29/12/2018] 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 29/12/2018] 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 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [02:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: CT #1 Crepitus t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Chest Tubes Left Pleural 1 t0: [05:00:00 29/12/2018] el: 2 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [04:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Drain Out #1 JP Lateral t0: [05:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Chest Tubes Left Pleural 2 t0: [05:00:00 29/12/2018] el: 2 cg: RN cu: CCU vo: 130 vu: ml
id: Fentanyl t0: [03:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 51 n1: 51 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: RSBI (<100) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 38.1818 n1: 38.1818 u1: units st: NotStopd id: ETT Mark/Location t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 38.1818 n1: 38.1818 u1: units st: NotStopd id: Resp Rate (Total) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.55 n1: 0.55 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [06:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: PT t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.7 n1: 29.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: PTT(22-35) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.7 n1: 29.7 rs: Final st: NotStopd
id: BUN t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 rs: Final st: NotStopd id: Calcium t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml
id: Fentanyl t0: [06:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4245815 hi: 27651 t0: [08:00:00 29/12/2018] tf: [07:00:00 30/12/2018] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE MR1 ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: CaO2 t0: [05:47:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 11.343 n1: 11.343 u1: ml/dl st: NotStopd id: WBC t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Hematocrit t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 24.3 n1: 24.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.62 n1: 2.62 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd
id: Platelets t0: [05:37:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 rs: Final st: NotStopd
id: Pain Present t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [07:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Education Topic #2 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Inc Closure/Appear#1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Incision/Wound #1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Cause t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Chest st: NotStopd id: Pain Management t0: [07:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Arterial BP Mean t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temperature C (calc) t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [07:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [07:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Fentanyl t0: [07:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4245900 hi: 27651 t0: [09:00:00 29/12/2018] tf: [08:00:00 30/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4245989 hi: 27651 t0: [09:00:00 29/12/2018] tf: [17:00:00 09/01/2019] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/12/2018] 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: [08:30:00 29/12/2018] 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: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:30:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:30:00 29/12/2018] el: 2 ai: 416 cg: RN cu: CCU vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:30:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [08:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:30:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: Low Exhaled Min Vol t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Minute Volume(Obser) t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 425 n1: 425 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:36:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 29/12/2018] el: 3 ai: 416 cg: RN cu: CCU vu: ml st: Stopped id: Urine Out Foley t0: [09:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Fentanyl t0: [09:00:00 29/12/2018] el: 3 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Art.pH t0: [10:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Pain Present t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [09:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Suction Amount t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Urine Out Foley t0: [10:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
pi: 4246322 hi: 27651 t0: [10:00:00 29/12/2018] tf: [09:00:00 30/12/2018] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 29/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [11:00:00 29/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [11:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Drain Out #1 JP Lateral t0: [11:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Temp. Site t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 35.0556 n1: 35.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95.1 n1: 95.1 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [09:00:00 29/12/2018] el: 2 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [11:00:00 29/12/2018] el: 2 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: Packed RBC's t0: [10:45:00 29/12/2018] el: 2 ai: 304 cg: RN cu: CCU vo: 0 vu: ml uu: Units nb: 1
id: IV Infusion In Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 167.5 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 29/12/2018] el: 0 cg: CoWker cu: CCU v1: 158 n1: 158 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 29/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Arterial BP t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/12/2018] 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 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/12/2018] 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 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [14:18:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:18:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:18:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:18:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:18:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:18:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: INV#2Chg o/Wire Date t0: [15:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Site Date t0: [15:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [15:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [15:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [15:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5/.45NS t0: [15:00:00 29/12/2018] el: 2 ai: 823 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 1000.0ml t0: [15:00:00 29/12/2018] el: 3 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4246924 hi: 27651 t0: [16:00:00 29/12/2018] tf: [17:00:00 09/01/2019] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 18 n2: 18 st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Arterial BP t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/12/2018] 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: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [15:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: GI#1 Intub Site t0: [17:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [17:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Precautions t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/12/2018] 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: [17:00:00 29/12/2018] 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: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 184 n1: 184 rs: Manual st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [17:00:00 29/12/2018] el: 2 cg: RN cu: CCU vo: 17 vu: ml id: Urine Out Foley t0: [17:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Chest Tubes Left Pleural 2 t0: [17:00:00 29/12/2018] el: 2 cg: RN cu: CCU vo: 175 vu: ml
id: Chest Tube Out Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 352 ac: 24 ap: none re: 0
id: Pain Level t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [13:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Barrier t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Drainage/Amt #1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Pain Level (Rest) t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [16:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Position t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [10:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Po Intake t0: [14:00:00 29/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [17:00:00 29/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml
id: 24h Total In t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 887.5 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 720 ac: 24 ap: none re: 0
id: Hematocrit t0: [18:01:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd
id: ETT Mark/Location t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Airway Size t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: Micro-Neb Treatment t0: [12:30:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: albut st: NotStopd id: O2 Delivery Device t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: SpO2 t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Type t0: [18:00:00 29/12/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/12/2018] 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: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: NBP t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 29/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 29/12/2018] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd
id: GI#1 Tube PlaceCheck t0: [19:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [19:00:00 29/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4247378 hi: 27651 t0: [20:00:00 29/12/2018] tf: [19:00:00 30/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4247379 hi: 27651 t0: [20:00:00 29/12/2018] tf: [19:00:00 30/12/2018] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Magnesium t0: [17:55:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium t0: [17:55:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:55:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:55:00 29/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: ETT Mark/Location t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Airway Size t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Incision/Wound #1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Intubation Date t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Drain Out #1 JP Lateral t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Temp. Site t0: [20:00:00 29/12/2018] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/12/2018] el: 0 cg: CoWker cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/12/2018] el: 0 cg: CoWker cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd
id: Pain Level t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Pain Cause t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Pain Level (Rest) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [21:00:00 29/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Precautions t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/12/2018] 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 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [20:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [22:00:00 29/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 1460 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: -1224.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 10874.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 2112 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 29/12/2018] el: 2 cg: RN cu: CCU cv: 300 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 29/12/2018] el: 0 cg: CoWker cu: CCU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Pain Level t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: ETT Mark/Location t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Airway Size t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Incision/Wound #1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Intubation Date t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Position t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/12/2018] 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: [22:00:00 29/12/2018] 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: [23:00:00 29/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [00:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [00:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Chest Tubes Left Pleural 2 t0: [00:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 65 vu: ml
id: Service Type t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/12/2018] 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: [02:00:00 30/12/2018] 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: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: % st: NotStopd id: calprevflg t0: [01:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: HOB t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Pain Level t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Airway Size t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: NBP t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Pain Cause t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [05:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Precautions t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/12/2018] 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 30/12/2018] 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: [05:00:00 30/12/2018] 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 30/12/2018] 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 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Ventilator Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [03:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [06:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Drain Out #1 JP Lateral t0: [06:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Chest Tubes Left Pleural 2 t0: [06:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 55 vu: ml
id: Fingerstick Glucose t0: [06:00:00 30/12/2018] el: 0 cg: CoWker cu: CCU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Topic #1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Incision/Wound #1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: WBC (4-11,000) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: WBC t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Hematocrit t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 26.9 n1: 26.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.85 n1: 2.85 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd
id: BUN t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: PT t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.3 n1: 31.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: PTT(22-35) t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 31.3 n1: 31.3 rs: Final st: NotStopd
id: Platelets t0: [06:00:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 56 n1: 56 rs: Final st: NotStopd
pi: 4248491 hi: 27651 t0: [08:00:00 30/12/2018] tf: [07:00:00 31/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4248492 hi: 27651 t0: [08:00:00 30/12/2018] tf: [07:00:00 31/12/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [07:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/12/2018] 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 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4248621 hi: 27651 t0: [10:00:00 30/12/2018] tf: [09:00:00 31/12/2018] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4248622 hi: 27651 t0: [20:00:00 30/12/2018] tf: [09:00:00 30/12/2018] 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: 4248623 hi: 27651 t0: [16:00:00 30/12/2018] tf: [10:00:00 01/01/2019] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4248625 hi: 27651 t0: [10:00:00 30/12/2018] tf: [17:00:00 09/01/2019] mn: Zolpidem Tartrate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours pi: 4248769 hi: 27651 t0: [20:00:00 30/12/2018] tf: [11:00:00 02/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/12/2018] 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: [10:02:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:02:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Temp. Site t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 34.8333 n1: 34.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 94.7 n1: 94.7 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:02:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 30/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 360 vu: ml id: Urine Out Foley t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: INV#1Chg o/Wire Date t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 D/C Date t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Site Date t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Cap Change t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [11:00:00 30/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: HOB t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Therapeutic Bed t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: INV Line#1 D/C Date t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 19 n2: 19 st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 17 n2: 17 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 12 n2: 12 st: NotStopd
id: Pain Level t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [11:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [10:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Precautions t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: Incision/Wound #1 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Assistance Device t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Duoderm st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/12/2018] 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: [14:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [13:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: CT #1 Dressing t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Po Intake t0: [13:00:00 30/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 360 vu: ml id: Urine Out Foley t0: [14:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Service Type t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/12/2018] 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: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/12/2018] 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: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [16:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 12 vu: ml id: Urine Out Foley t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 JP Lateral t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Chest Tubes Left Pleural 2 t0: [16:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 60 vu: ml
id: Pain Level t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Level/Response t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Pain Level (Rest) t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Management t0: [16:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Precautions t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/12/2018] 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: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [16:00:00 30/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml
id: Activity t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Position t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Chest Tube Site #1 t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Topic #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Approximated st: NotStopd id: Inc Drainage/Amt #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PresSoreStage/Heal#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: PressSore Drng/Amt#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSore Wth/Lth #1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 2 cm v2: 2 cm st: NotStopd id: PressSoreCleansing#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Pressure Sore Odor#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Pt./Family Informed t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Hematocrit t0: [17:43:00 30/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 208 n1: 208 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [17:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Service Type t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Pain Level t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Approximated st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Incentive Spirometry t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Left Chest st: NotStopd id: Pain Management t0: [21:00:00 30/12/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Assistance Device t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/12/2018] 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 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [21:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Po Intake t0: [21:00:00 30/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Chest Tubes Left Pleural 1 t0: [20:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 JP Lateral t0: [20:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: Chest Tubes Left Pleural 2 t0: [20:00:00 30/12/2018] el: 2 cg: RN cu: CCU vo: 30 vu: ml
id: 24h Total In t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 960 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 960 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 342 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 75 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 30/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 1480 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: -937 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 9937.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/12/2018] el: 2 cg: RN cu: CCU cv: 1897 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 30/12/2018] 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 30/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [00:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [00:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Chest Tube Site #1 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: LLL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: RLL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 30/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Pain Present t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Urine Out Foley t0: [02:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: WBC (4-11,000) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.3 n1: 6.3 rs: Final st: NotStopd id: WBC t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.3 n1: 6.3 rs: Final st: NotStopd id: Hematocrit t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.01 n1: 3.01 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 6.3 n1: 6.3 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IV #2 Insert Date t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: NBP t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 31/12/2018] 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: [03:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [04:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 32 vu: ml id: Urine Out Foley t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 JP Lateral t0: [04:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 5 vu: ml id: Chest Tubes Left Pleural 2 t0: [04:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 40 vu: ml
id: Chest Tube Site #1 t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: GI Prophylaxis t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Po Intake t0: [04:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 60 vu: ml
id: PT t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: INR t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd
id: BUN t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: PTT t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.3 n1: 29.3 rs: Final st: NotStopd id: PTT(22-35) t0: [03:21:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 29.3 n1: 29.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 31/12/2018] 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: [06:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Precautions t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Precautions t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 31/12/2018] 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: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [03:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Range of Motion t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Circulation/SkinInt t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Position Change t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Reason For Restraint t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Removed x 5 Mins t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Restraint Type t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Restraints Evaluated t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Pt./Family Informed t0: [08:00:00 31/12/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Orientation t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 31/12/2018] 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: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Verbal Response t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Chest Tubes Left Pleural 1 t0: [08:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Drain Out #1 JP Lateral t0: [08:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Chest Tubes Left Pleural 2 t0: [08:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 0 vu: ml
id: CT #2 Dressing t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Suction Amount t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Barrier t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: GU Cath Insert Date t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Incentive Spirometry t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: Restraint Location t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Guaiac t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Behavior t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Service Type t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4251210 hi: 27651 t0: [11:00:00 31/12/2018] tf: [10:00:00 01/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Back Care t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: CT #2 Dressing t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Service Type t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Family Communication t0: [09:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: calprevflg t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: CT #1 Crepitus t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Fluctuate/Leak t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Urine Out Foley t0: [11:00:00 31/12/2018] el: 1 cg: RN cu: CCU vu: ml
id: CT #2 Dressing t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Present t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Magnesium t0: [10:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium t0: [10:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Diet Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #1 D/C Date t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 20 n2: 20 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 19 n2: 19 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: IV Site Appear #2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incentive Spirometry t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incentive Spirometry t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Magnesium (1.6-2.6) t0: [10:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:52:00 31/12/2018] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Braden Activity t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Po Intake t0: [10:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Chest Tubes Left Pleural 1 t0: [12:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: Drain Out #1 JP Lateral t0: [12:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Chest Tubes Left Pleural 2 t0: [12:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 0 vu: ml
id: Service Type t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Precautions t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [13:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [13:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 4252037 hi: 27651 t0: [15:00:00 31/12/2018] tf: [14:00:00 01/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: HOB t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity Tolerance t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Incentive Spirometry t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: NBP t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: Sputum Source/Amt t0: [11:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: Sputum Source/Amt t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: Turn t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: CT #2 Dressing t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Behavior t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: CT #1 Crepitus t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Urine Out Foley t0: [14:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 190 vu: ml
id: Stool Color/Consist t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [14:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
id: Service Type t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 31/12/2018] 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: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 31/12/2018] el: 0 cg: CoWker cu: CCU v1: 103 n1: 103 rs: Manual st: NotStopd
id: CT #2 Dressing t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd id: CT #2 Fluctuate/Leak t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Level t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Present t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Abdominal Assessment t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #2 Insert Date t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incentive Spirometry t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Type t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Through Dermis v2: No st: NotStopd id: PressSore Depth #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 0.5 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 cm v2: 4 cm st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Pressure Sore Odor#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 31/12/2018] 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: [17:00:00 31/12/2018] 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: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Chest Tubes Left Pleural 1 t0: [16:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 JP Lateral t0: [16:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Chest Tubes Left Pleural 2 t0: [16:00:00 31/12/2018] el: 2 cg: RN cu: CCU vo: 0 vu: ml
id: Chest Tube Out Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 152 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 25 ac: 24 ap: none re: 0
id: CT #2 Dressing t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd id: CT #2 Fluctuate/Leak t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Service Type t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Risk for Falls t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [17:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Incentive Spirometry t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: NBP t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 31/12/2018] 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: [19:00:00 31/12/2018] 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: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: CT #1 Crepitus t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [18:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Po Intake t0: [16:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [19:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [18:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: CT #2 Dressing t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Level t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Code Status t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Daily Wake Up t0: [20:00:00 31/12/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 10 n2: 10 st: NotStopd id: GU Catheter Size t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: IV #2 Insert Date t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 20 n2: 20 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Incentive Spirometry t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Incision/Wound #1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Thoracotomy, L st: NotStopd id: LLL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Type t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 31/12/2018] 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 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [20:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Po Intake t0: [20:00:00 31/12/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [20:00:00 31/12/2018] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: 24h Total In t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 1080 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 1080 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 1630 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: -727 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 9210.62 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 31/12/2018] el: 2 cg: RN cu: -1 cv: 1807 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: NBP Mean t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 31/12/2018] 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: [21:11:00 31/12/2018] 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: [22:00:00 31/12/2018] 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 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:11:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 31/12/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 rs: Manual st: NotStopd
ci: 37239 t0: [18:51:00 21/12/2018] cu: CCU de: Regular ward dt: 14618
pi: 4253967 hi: 27651 t0: [00:00:00 01/01/2019] tf: [23:00:00 31/12/2018] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4253968 hi: 27651 t0: [00:00:00 01/01/2019] tf: [17:00:00 09/01/2019] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4253969 hi: 27651 t0: [00:00:00 01/01/2019] tf: [17:00:00 09/01/2019] 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: 4255178 hi: 27651 t0: [11:00:00 01/01/2019] tf: [10:00:00 02/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4255179 hi: 27651 t0: [14:00:00 01/01/2019] tf: [11:00:00 02/01/2019] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4257634 hi: 27651 t0: [01:00:00 02/01/2019] tf: [00:00:00 03/01/2019] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4257635 hi: 27651 t0: [01:00:00 02/01/2019] tf: [00:00:00 03/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4257636 hi: 27651 t0: [08:00:00 02/01/2019] tf: [07:00:00 05/01/2019] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 dt: 3 di: Days xv: 36 xu: Hours
pi: 4258775 hi: 27651 t0: [20:00:00 02/01/2019] tf: [09:00:00 03/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4258776 hi: 27651 t0: [10:00:00 02/01/2019] tf: [09:00:00 03/01/2019] mn: Lisinopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4261531 hi: 27651 t0: [20:00:00 03/01/2019] tf: [17:00:00 09/01/2019] 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: 4261532 hi: 27651 t0: [10:00:00 03/01/2019] tf: [09:00:00 04/01/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4261533 hi: 27651 t0: [10:00:00 03/01/2019] tf: [17:00:00 09/01/2019] 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: 4261534 hi: 27651 t0: [10:00:00 03/01/2019] tf: [09:00:00 04/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4261535 hi: 27651 t0: [10:00:00 03/01/2019] tf: [09:00:00 04/01/2019] 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: 4261536 hi: 27651 t0: [10:00:00 03/01/2019] tf: [09:00:00 04/01/2019] 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: 4261537 hi: 27651 t0: [10:00:00 03/01/2019] tf: [09:00:00 04/01/2019] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4262322 hi: 27651 t0: [16:00:00 03/01/2019] tf: [15:00:00 04/01/2019] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4262664 hi: 27651 t0: [20:00:00 03/01/2019] tf: [19:00:00 04/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4263079 hi: 27651 t0: [08:00:00 04/01/2019] tf: [17:00:00 09/01/2019] mn: Calcium Carbonate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4263080 hi: 27651 t0: [10:00:00 04/01/2019] tf: [17:00:00 09/01/2019] mn: Vitamin D pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4263081 hi: 27651 t0: [01:00:00 04/01/2019] tf: [00:00:00 05/01/2019] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4263082 hi: 27651 t0: [01:00:00 04/01/2019] tf: [00:00:00 05/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4263083 hi: 27651 t0: [01:00:00 04/01/2019] tf: [00:00:00 05/01/2019] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4263084 hi: 27651 t0: [01:00:00 04/01/2019] tf: [00:00:00 05/01/2019] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4263789 hi: 27651 t0: [11:00:00 04/01/2019] tf: [10:00:00 05/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4263918 hi: 27651 t0: [11:00:00 04/01/2019] tf: [10:00:00 05/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4265268 hi: 27651 t0: [20:00:00 04/01/2019] tf: [19:00:00 05/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4266577 hi: 27651 t0: [11:00:00 05/01/2019] tf: [10:00:00 06/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4268417 hi: 27651 t0: [09:00:00 06/01/2019] tf: [08:00:00 07/01/2019] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4268418 hi: 27651 t0: [09:00:00 06/01/2019] tf: [08:00:00 07/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4268419 hi: 27651 t0: [09:00:00 06/01/2019] tf: [08:00:00 07/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4268420 hi: 27651 t0: [20:00:00 06/01/2019] tf: [17:00:00 09/01/2019] mn: Miconazole 2% Cream pt: Unit Dose st: Discontinued via patient discharge rt: TP fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4270744 hi: 27651 t0: [10:00:00 07/01/2019] tf: [09:00:00 09/01/2019] mn: Furosemide pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4270745 hi: 27651 t0: [09:00:00 07/01/2019] tf: [08:00:00 08/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4270983 hi: 27651 t0: [11:00:00 07/01/2019] tf: [10:00:00 08/01/2019] mn: Magnesium Oxide pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4275970 hi: 27651 t0: [17:00:00 08/01/2019] tf: [17:00:00 09/01/2019] mn: Oxymetazoline HCl pt: Unit Dose st: Discontinued via patient discharge rt: NU fr: BID:PRN dt: 3 di: Days xv: 36 xu: Hours
pi: 4276685 hi: 27651 t0: [20:00:00 08/01/2019] tf: [17:00:00 09/01/2019] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4276686 hi: 27651 t0: [20:00:00 08/01/2019] tf: [17:00:00 09/01/2019] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4277310 hi: 27651 t0: [01:00:00 09/01/2019] tf: [17:00:00 09/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4278336 hi: 27651 t0: [10:00:00 09/01/2019] tf: [10:00:00 09/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4278353 hi: 27651 t0: [20:00:00 09/01/2019] tf: [17:00:00 09/01/2019] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4278423 hi: 27651 t0: [11:00:00 09/01/2019] tf: [17:00:00 09/01/2019] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 11, 23 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4278540 hi: 27651 t0: [11:00:00 09/01/2019] tf: [17:00:00 09/01/2019] 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: 4278541 hi: 27651 t0: [11:00:00 09/01/2019] tf: [17:00:00 09/01/2019] 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: 4278542 hi: 27651 t0: [11:00:00 09/01/2019] tf: [17:00:00 09/01/2019] mn: Magnesium Oxide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 20/02/2019] el: 0 cg: LCP cu: LCP at MIT n1: 12
id: BSA t0: [21:46:00 20/02/2019] el: 1033 cg: 8 cu: MICU id: Admit Wt t0: [21:46:00 20/02/2019] el: 1032 cg: 8 cu: MICU id: Allergy 1 t0: [21:46:00 20/02/2019] el: 1020 cg: 8 cu: MICU v1: No Known Drug Allergies id: Diagnosis/op t0: [21:46:00 20/02/2019] el: 1023 cg: 8 cu: MICU v1: LOWER GASTROINTESTINAL BLEED id: Service t0: [21:46:00 20/02/2019] el: 1026 cg: 8 cu: MICU v1: MED id: Admit Ht t0: [21:46:00 20/02/2019] el: 1034 cg: 8 cu: MICU id: Readmission t0: [21:46:00 20/02/2019] el: 1014 cg: 8 cu: MICU id: Marital Status t0: [21:46:00 20/02/2019] el: 1006 cg: 8 cu: MICU v1: M id: Religion t0: [21:46:00 20/02/2019] el: 1000 cg: 8 cu: MICU v1: RCA id: Allergy 2 t0: [21:46:00 20/02/2019] el: 1021 cg: 8 cu: MICU id: Ext t0: [21:46:00 20/02/2019] el: 1010 cg: 8 cu: MICU id: Allergy 3 t0: [21:46:00 20/02/2019] el: 1022 cg: 8 cu: MICU
id: Pain Present t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Family Visited st: NotStopd id: FiO2 Set t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: GCS Total t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: IV #1 Insert Date t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Position t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Previous Weight t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Source t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Weight Change t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd
id: Riker-SAS Scale t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Education Barrier t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Education Handout t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Understands st: NotStopd id: Education Topic #1 t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Plan of Care st: NotStopd id: Abdominal Assessment t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: Pain Location t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Restraint Location t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: Behavior t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Bowel Sounds t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 20/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 20/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 20/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 10 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 20/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 10 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 20/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 10 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 20/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 10 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 20/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 10 ac: 1 ap: none re: 0
pi: 4412387 hi: 10494 t0: [01:00:00 21/02/2019] tf: [19:00:00 24/02/2019] 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: 4412388 hi: 10494 t0: [01:00:00 21/02/2019] tf: [07:00:00 22/02/2019] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 1, 13 dn: 2 di: Ongoing xu: Enter on Label pi: 4412389 hi: 10494 t0: [01:00:00 21/02/2019] tf: [19:00:00 24/02/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [01:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [23:00:00 20/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: FiO2 Set t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: HOB t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 57 n1: 57 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Pain Location t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: calprevflg t0: [00:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Packed RBC's t0: [00:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 375 vu: ml uu: Units
pi: 4412499 hi: 10494 t0: [02:00:00 21/02/2019] tf: [01:00:00 22/02/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 20 mins it: B dt: 1 di: Doses xu: Enter on Label
id: NBP t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Significant Events t0: [01:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [01:00:00 21/02/2019] el: 1 ai: 105 cg: RN cu: MICU vo: 500 vu: ml
id: Service Type t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [02:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [02:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 200 vu: ml
id: Service Type t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: WBC (4-11,000) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 5 n1: 5 rs: Final st: NotStopd id: WBC t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 5 n1: 5 rs: Final st: NotStopd id: Hematocrit t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 21.9 n1: 21.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 7.6 n1: 7.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 100 n1: 100 rs: Final st: NotStopd id: RBC t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 2.36 n1: 2.36 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 5 n1: 5 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: BUN t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 136 n1: 136 rs: Final st: NotStopd
id: Eye Care t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: IV #1 Insert Date t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Restraint Location t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Skin Care t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Therapeutic Bed t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Braden Activity t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: PT t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: INR t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 32.4 n1: 32.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: PTT(22-35) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 32.4 n1: 32.4 rs: Final st: NotStopd
id: Urine Out Void t0: [04:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 300 vu: ml
id: Service Type t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
pi: 4412831 hi: 10494 t0: [06:00:00 21/02/2019] tf: [05:00:00 22/02/2019] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: FiO2 Set t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: HOB t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Pain Location t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: D5W 100.0ml t0: [06:00:00 21/02/2019] el: 1 ai: 105 cg: RN cu: MICU vo: 100 vu: ml
id: Service Type t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [07:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Packed RBC's t0: [04:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 278 vu: ml uu: Units
id: Pain Present t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No Limitations st: NotStopd id: Braden Moisture t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [08:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Hematocrit t0: [07:48:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 23.6 n1: 23.6 u1: % rs: Final st: NotStopd
id: Service Type t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [09:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 150 vu: ml
id: Packed RBC's t0: [09:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 375 vu: ml uu: Units nb: 1
id: Blood Products Total t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU cv: 1028 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vu: ml st: Stopped
id: Albumin t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Albumin (>3.2) t0: [02:57:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 2.7 n1: 2.7 rs: Final st: NotStopd
pi: 4413785 hi: 10494 t0: [20:00:00 21/02/2019] tf: [12:00:00 22/02/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4413882 hi: 10494 t0: [10:00:00 21/02/2019] tf: [19:00:00 24/02/2019] mn: Sertraline pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4413883 hi: 10494 t0: [10:00:00 21/02/2019] tf: [19:00:00 24/02/2019] mn: FoLIC Acid pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4413884 hi: 10494 t0: [22:00:00 21/02/2019] tf: [19:00:00 24/02/2019] mn: Simvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Family Called st: NotStopd id: FiO2 Set t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [11:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 0 vu: ml st: Restart id: Urine Out Void t0: [12:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 200 vu: ml
id: Service Type t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 126 n1: 126 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [13:00:00 21/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: .9% Normal Saline 1000.0ml t0: [14:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [14:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 300 vu: ml
id: Service Type t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: WBC t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Hematocrit t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 27.1 n1: 27.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 9.5 n1: 9.5 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 3.01 n1: 3.01 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 5.3 n1: 5.3 rs: Final st: NotStopd
id: Platelets t0: [13:49:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 92 n1: 92 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [15:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 650 vu: ml
id: Service Type t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Frequency t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:45:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:50:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4414502 hi: 10494 t0: [16:00:00 21/02/2019] tf: [15:00:00 22/02/2019] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4414503 hi: 10494 t0: [16:00:00 21/02/2019] tf: [15:00:00 22/02/2019] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Frequency t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 115 n1: 115 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Endoscopy st: NotStopd id: Respiratory Rate t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:05:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:10:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:15:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:20:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:25:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Temp. Site t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd
id: Pain Present t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Code Status t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Therapeutic Bed t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
pi: 4414668 hi: 10494 t0: [10:00:00 21/02/2019] tf: [19:00:00 24/02/2019] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: NBP t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: Service Type t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [17:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 175 vu: ml
id: Service Type t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [18:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 350 vu: ml
id: Service Type t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [19:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 200 vu: ml
id: Total Hourly Output t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: 1200 cv: 1200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: 1200 cv: 3825 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: 1200 cv: 3825 ac: 24 ap: none re: 0
id: Pain Present t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Education Handout t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 107 n1: 107 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Po Intake t0: [20:00:00 21/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Service Type t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Pain Present t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 21/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 53 n1: 53 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Precautions t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Turn t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: calprevflg t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Activity t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Therapeutic Bed t0: [22:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd
id: Service Type t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 21/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 21/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 810 ac: 24 ap: none re: 0
id: Urine Out Void t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU vo: 1200 vu: ml
id: Pain Present t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Care t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Family Visited st: NotStopd id: GCS Total t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 52 n1: 52 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Therapeutic Bed t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Hematocrit t0: [21:59:00 21/02/2019] el: 0 cg: 140 cu: MICU v1: 25.9 n1: 25.9 u1: % rs: Final st: NotStopd
id: Temp. Site t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: Deg. F st: NotStopd
id: Service Type t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Pain Present t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 53 n1: 53 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: calprevflg t0: [02:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [02:00:00 22/02/2019] el: 1 cg: RN cu: MICU vo: 250 vu: ml
id: Service Type t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Pain Present t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 54 n1: 54 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Service Type t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Pain Present t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: calprevflg t0: [06:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Urine Out Void t0: [06:00:00 22/02/2019] el: 1 cg: RN cu: MICU vo: 400 vu: ml
id: WBC (4-11,000) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: WBC t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Hematocrit t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 26.9 n1: 26.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 82 n1: 82 rs: Final st: NotStopd id: RBC t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 2.95 n1: 2.95 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [07:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 21/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: 24h Total In t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: 10 cv: 2058 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU cv: 220 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: -1190 cv: -1767 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: -1190 cv: -1757 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 21/02/2019] el: 1 cg: RN cu: MICU pv: -1190 cv: -1190 ac: 1 ap: none re: 0
id: PT t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 31.9 n1: 31.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 31.9 n1: 31.9 rs: Final st: NotStopd
id: Calcium t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 87 n1: 87 rs: Final st: NotStopd id: Magnesium t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 138 n1: 138 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 87 n1: 87 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 138 n1: 138 rs: Final st: NotStopd
pi: 4416804 hi: 10494 t0: [08:00:00 22/02/2019] tf: [07:00:00 22/02/2019] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4416808 hi: 10494 t0: [08:00:00 22/02/2019] tf: [07:00:00 22/02/2019] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4416848 hi: 10494 t0: [08:00:00 22/02/2019] tf: [08:00:00 22/02/2019] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 8 dn: 1 di: Ongoing xu: Enter on Label pi: 4416857 hi: 10494 t0: [08:00:00 22/02/2019] tf: [08:00:00 22/02/2019] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: BUN t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 22 n1: 22 rs: Final st: NotStopd id: BUN (6-20) t0: [05:41:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 22 n1: 22 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 57 n1: 57 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No Limitations st: NotStopd id: Braden Moisture t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Po Intake t0: [08:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
pi: 4416913 hi: 10494 t0: [09:00:00 22/02/2019] tf: [01:00:00 24/02/2019] mn: Pantoprazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q24H ds: 9 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4416975 hi: 10494 t0: [09:00:00 22/02/2019] tf: [08:00:00 23/02/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Service Type t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
pi: 4417759 hi: 10494 t0: [10:00:00 22/02/2019] tf: [19:00:00 24/02/2019] mn: Digoxin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 44 n1: 44 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [11:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [12:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Po Intake t0: [11:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Void t0: [12:00:00 22/02/2019] el: 1 cg: RN cu: MICU vo: 340 vu: ml
id: Service Type t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Chair st: NotStopd id: Activity Tolerance t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Assistance Device t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Previous Weight t0: [12:50:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous Weight t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous Weight t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [12:45:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:55:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml
id: Service Type t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 22/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml st: Stopped
id: IV Infusion In Total t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 140 ac: 24 ap: none re: 0
id: Stool Guaiac t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Positive st: NotStopd
id: Stool Out Stool t0: [15:00:00 22/02/2019] el: 1 cg: RN cu: MICU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: WBC t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Hematocrit t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 80 n1: 80 rs: Final st: NotStopd id: RBC t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 2.97 n1: 2.97 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [14:53:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 4.7 n1: 4.7 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Po Intake t0: [14:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml id: Po Intake t0: [15:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml id: Urine Out Void t0: [16:00:00 22/02/2019] el: 1 cg: RN cu: MICU vo: 235 vu: ml
id: Temp. Site t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd
id: Service Type t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [17:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml
id: Po Intake t0: [18:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 240 vu: ml
id: Urine Out Void t0: [18:00:00 22/02/2019] el: 1 cg: RN cu: MICU vo: 75 vu: ml
id: Service Type t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 118 n1: 118 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Education Handout t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Plan of Care st: NotStopd id: Eye Care t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 52 n1: 52 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Independent st: NotStopd id: Precautions t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Therapeutic Bed t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [19:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Service Type t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [21:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 200 vu: ml id: Urine Out Void t0: [21:00:00 22/02/2019] el: 1 cg: RN cu: MICU vo: 300 vu: ml
id: Total Hourly Output t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 1600 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 1600 ac: 24 ap: carryForward re: 0
id: Hematocrit t0: [21:08:00 22/02/2019] el: 0 cg: 140 cu: MICU v1: 25.4 n1: 25.4 u1: % rs: Final st: NotStopd
id: Pain Present t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 22/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 193 n1: 193 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: calprevflg t0: [22:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 22/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 100 vu: ml
id: 24h Total In t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 2120 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 1980 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 520 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: -1237 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/02/2019] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0
id: Service Type t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 22/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 54 n1: 54 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Urine Out Void t0: [00:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 200 vu: ml
id: Service Type t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Care t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Back Care t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 150 n1: 150 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [03:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Void t0: [03:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 240 vu: ml
id: Pain Present t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 48 n1: 48 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: done id: Behavior t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Service Type t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Care t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 51 n1: 51 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Position t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Back Care t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Void t0: [06:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 130 vu: ml
id: WBC (4-11,000) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: WBC t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Hematocrit t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 24.2 n1: 24.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 78 n1: 78 rs: Final st: NotStopd id: RBC t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 2.63 n1: 2.63 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 4.5 n1: 4.5 rs: Final st: NotStopd
id: BUN t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: INR t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 30.4 n1: 30.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: PTT(22-35) t0: [05:16:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 30.4 n1: 30.4 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Diet Type t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Sleeping st: NotStopd id: NBP t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Urine Source t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: calprevflg t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: O2 Delivery Device t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd
id: Urine Out Void t0: [07:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 440 vu: ml
id: Arterial BP t0: [08:00:00 23/02/2019] el: 0 cg: -1 cu: MICU st: D/C'd id: Arterial BP Mean t0: [08:00:00 23/02/2019] el: 0 cg: -1 cu: MICU st: D/C'd
pi: 4420750 hi: 10494 t0: [09:00:00 23/02/2019] tf: [22:00:00 23/02/2019] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4420751 hi: 10494 t0: [09:00:00 23/02/2019] tf: [22:00:00 23/02/2019] mn: Magnesium Oxide pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Service Type t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1.5 n1: 1.5 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Walks Occasional st: NotStopd id: Braden Mobility t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Adequate st: NotStopd id: Braden SensoryPercep t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Po Intake t0: [08:00:00 23/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 120 vu: ml
id: Service Type t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Education Barrier t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Education Learner t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Understands st: NotStopd id: Education Topic #1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Plan of Care st: NotStopd id: HOB t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Dermagran st: NotStopd id: ImpSkin Wound Base#1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: NBP t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 112 n1: 112 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [07:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: Skin Integrity t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: SpO2 t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: % st: NotStopd id: Turn t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: calprevflg t0: [09:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Frict/Shear t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Problem st: NotStopd id: Braden Score t0: [08:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: number st: NotStopd
id: Service Type t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Commode st: NotStopd id: Activity t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Chair st: NotStopd id: Activity Tolerance t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 23/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 120 vu: ml id: Urine Out Void t0: [10:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 200 vu: ml
id: 24h Total In t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: 735 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: 360 ac: 24 ap: none re: 0
id: Pain Present t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Service Type t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Precautions t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 58 n1: 58 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1.5 n1: 1.5 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: Precautions t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [12:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Urine Out Void t0: [12:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: 1710 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: -975 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: -2212 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: MICU cv: 1710 ac: 24 ap: carryForward re: 0
id: Service Type t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Hematocrit t0: [12:15:00 23/02/2019] el: 0 cg: 140 cu: MICU v1: 25.4 n1: 25.4 u1: % rs: Final st: NotStopd
id: HOB t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 45 degrees st: NotStopd id: Activity t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Assistance Device t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd
id: Urine Out Void t0: [13:30:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Service Type t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Precautions t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [14:00:00 23/02/2019] el: 1 ai: 103 cg: RN cu: MICU vo: 120 vu: ml id: Urine Out Void t0: [16:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Pain Present t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Service Type t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: IV #1 Insert Date t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Coccyx st: NotStopd id: Level of Conscious t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1.5 n1: 1.5 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Supervised st: NotStopd id: Precautions t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Condom Catheter st: NotStopd id: Verbal Response t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Appropriate st: NotStopd
id: Abdominal Assessment t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Dermagran st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Bowel Sounds t0: [16:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: Urine Out Void t0: [17:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 120 vu: ml
pi: 4422010 hi: 10494 t0: [20:00:00 23/02/2019] tf: [19:00:00 24/02/2019] 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
id: Service Type t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 113 n1: 113 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 119 n1: 119 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [17:45:00 23/02/2019] el: 1 ai: 107 cg: RN cu: MICU vo: 375 vu: ml uu: Units nb: 1
id: Blood Products Total t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: -1 cv: 375 ac: 24 ap: none re: 0
id: Temp. Site t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 35.3333 n1: 35.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [17:15:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 95.6 n1: 95.6 u1: Deg. F st: NotStopd
id: Service Type t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Rare st: NotStopd id: Ectopy Type t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: Activity t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Commode st: NotStopd id: Activity Tolerance t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Good st: NotStopd id: NBP t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Assistance Device t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:30:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [18:30:00 23/02/2019] el: 1 cg: RN cu: MICU vu: ml es: Large id: Urine Out Void t0: [18:30:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 23/02/2019] el: 1 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: BPM st: NotStopd id: Precautions t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [19:00:00 23/02/2019] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Heart Rhythm t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Pain Location t0: [19:00:00 23/02/2019] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd
id: Urine Out Void t0: [19:00:00 23/02/2019] el: 1 cg: RN cu: MICU vo: 140 vu: ml
ci: 37990 t0: [21:46:00 20/02/2019] cu: MICU de: Regular ward dt: 4223
pi: 4422611 hi: 10494 t0: [22:00:00 23/02/2019] tf: [19:00:00 24/02/2019] 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: 4422612 hi: 10494 t0: [20:00:00 23/02/2019] tf: [19:00:00 24/02/2019] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4422925 hi: 10494 t0: [02:00:00 24/02/2019] tf: [19:00:00 24/02/2019] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 2, 14 dn: 2 di: Ongoing xv: 36 xu: Hours