This log is also available as text (234bc.txt) and as a (binary) annotation file (234bc.log).
Generated: Thursday, 23-Apr-2009 00:36:03 EDT
(All dates below are surrogates.)
id: Less Restrict Meas. t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Level t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Level/Response t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Present t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: bath t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: done id: INV#1Chg o/Wire Date t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Pain Assess Method t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Assess Method t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 10/02/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: HOB t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [11:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: PA line v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: IV #2 Insert Date t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: IV #2 Insert Date t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV #2 Site/Size t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Heel, Right st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Procedural st: NotStopd id: Pain Level (Rest) t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Location t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Pain Management t0: [16:00:00 10/02/2015] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: PressureReduceDevice t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 10/02/2015] el: 0 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 10/02/2015] 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 10/02/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: In-Line Sx Change t0: [11:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: Verbal Response t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden Score t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 10/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 10/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Midazolam t0: [18:15:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [18:15:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [18:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GI Prophylaxis t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Cavity t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Stool Guaiac t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [08:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Art.pH t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: PAP Mean t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/02/2015] el: 0 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 10/02/2015] 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 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Swan SVO2 t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: % st: NotStopd id: calprevflg t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [19:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd
id: Midazolam t0: [19:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [19:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Hematocrit t0: [19:01:00 10/02/2015] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 u1: % rs: Final st: NotStopd
id: CaO2 t0: [19:01:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 10.9654 n1: 10.9654 u1: ml/dl st: NotStopd
id: BSA t0: [19:19:00 10/02/2015] el: 1033 cg: -1 cu: CCU v1: 2.00859 n1: 2.00859 u1: m2 id: Admit Wt t0: [19:19:00 10/02/2015] el: 1032 cg: -1 cu: CCU v1: 84 n1: 84 u1: kg id: Fingerstick Glucose t0: [19:00:00 10/02/2015] el: 0 cg: CoWker cu: CCU v1: 193 n1: 193 rs: Manual st: NotStopd id: Allergy 1 t0: [19:19:00 10/02/2015] el: 1020 cg: -1 cu: CCU id: Diagnosis/op t0: [19:19:00 10/02/2015] el: 1023 cg: -1 cu: CCU v1: NON HEALING R FOOT ULCER/PERIPHERAL id: Service t0: [19:19:00 10/02/2015] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [19:19:00 10/02/2015] el: 1034 cg: -1 cu: CCU v1: 65 n1: 65 u1: inches id: Readmission t0: [19:19:00 10/02/2015] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [19:19:00 10/02/2015] el: 1006 cg: -1 cu: CCU v1: W id: Religion t0: [19:19:00 10/02/2015] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [19:19:00 10/02/2015] el: 1021 cg: -1 cu: CCU id: Ext t0: [19:19:00 10/02/2015] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [19:19:00 10/02/2015] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Cardiac Index t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 3.53234 n1: 3.53234 u1: ... st: NotStopd id: Code Status t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: DO2I t0: [19:01:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 388.3 n1: 388.3 u1: ml/m/m st: NotStopd id: Risk for Falls t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 10/02/2015] el: 0 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 10/02/2015] 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 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SVR t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 676.056 n1: 676.056 u1: ... st: NotStopd id: SVRI t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1359.77 n1: 1359.77 u1: ... st: NotStopd id: SpO2 t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd id: C.O. (fick) t0: [19:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 7.05949 n1: 7.05949 u1: L/min st: NotStopd
id: Midazolam t0: [19:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [19:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GI#1 Intub Site t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd
id: NBP t0: [20:00:00 10/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP Mean t0: [20:00:00 10/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4322549 hi: 9633 t0: [21:00:00 10/02/2015] tf: [20:00:00 11/02/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 1:4.0 st: NotStopd id: Airway Size t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 637 n1: 637 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 10/02/2015] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Cardiac Index t0: [19:45:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 3.53234 n1: 3.53234 u1: ... st: NotStopd id: NBP Mean t0: [19:45:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP t0: [19:45:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:45:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 10/02/2015] el: 0 cg: CoWker cu: CCU v1: 155 n1: 155 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Pain Assess Method t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:15:00 10/02/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GI Guaiac/ph t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Negative v2: 3 n2: 3 st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Catheter Size t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 14 French st: NotStopd id: HOB t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: PA line v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Heel, Right st: NotStopd id: LLE Temp/Color t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Pink st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP Mean t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP Mean t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: PAP S/D t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PAP S/D t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PCWP t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: PCWP t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Pain Location t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: PressureReduceDevice t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 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 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Pink st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: INV#1 Cap Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: Verbal Response t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:15:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 10/02/2015] el: 2 ai: 190 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 10/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 10/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [19:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 6.3 vu: ml id: Gastric Meds t0: [20:00:00 10/02/2015] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 10/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 10/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: GT Flush t0: [20:00:00 10/02/2015] el: 1 ai: 110 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [19:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 2 vu: ml
id: Midazolam t0: [20:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:15:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [20:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Dopamine t0: [20:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:15:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 10/02/2015] el: 2 cg: RN cu: CCU cv: 160 ac: 24 ap: none re: 0
id: .9% Normal Saline 1000.0ml t0: [21:00:00 10/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 10/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2.25 vu: ml id: Urine Out Foley t0: [21:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 1.5 vu: ml
id: Service Type t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/02/2015] el: 0 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 10/02/2015] 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 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 6.3 vu: ml st: Stopped
id: Midazolam t0: [21:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Dopamine t0: [21:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Insulin t0: [21:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 10/02/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/02/2015] el: 0 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 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [22:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [21:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 142 n1: 142 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 10/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 10/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [22:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 10/02/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 2 vu: ml st: Stopped
id: Midazolam t0: [22:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Insulin t0: [22:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 10/02/2015] el: 0 cg: CoWker cu: CCU v1: 137 n1: 137 rs: Manual st: NotStopd
id: bath t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done id: Service Type t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: PAP Mean t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Arterial BP t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: PressureReduceDevice t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/02/2015] el: 0 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 10/02/2015] 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 10/02/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Back Care t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 10/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 65 vu: ml
id: Insulin t0: [23:00:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: SpO2 t0: [23:00:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd
id: Service Type t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [23:30:00 10/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PA line cm Mark t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: cm st: NotStopd id: PCWP t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Swan SVO2 t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: % st: NotStopd
id: Cardiac Index t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 2.93532 n1: 2.93532 u1: ... st: NotStopd id: PVRI t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 326.531 n1: 326.531 u1: ... st: NotStopd id: SVR t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 935.593 n1: 935.593 u1: ... st: NotStopd id: SVRI t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 1877.55 n1: 1877.55 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 58 n1: 58 rs: Manual st: NotStopd id: SaO2 t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % rs: Manual st: NotStopd id: C.O. (fick) t0: [23:30:00 10/02/2015] el: 0 cg: RN cu: CCU v1: 5.94483 n1: 5.94483 u1: L/min st: NotStopd
id: Imp Skin Cleanse #1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Character #1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Drain/Amt#1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Treatment #1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Wound Base#1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Wth/Lth #1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Impaired Skin Site#1 t0: [00:00:00 11/02/2015] el: 0 cg: -1 cu: CCU st: D/C'd
io: ProBalance el: 1 cg: RN cu: CCU ra: 20 ru: ml/hr
id: Compliance (40-60ml) t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 1:4.0 st: NotStopd id: Airway Size t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 613 n1: 613 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 11/02/2015] el: 0 cg: 2827 cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Pain Assess Method t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 11/02/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PA line cm Mark t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: cm st: NotStopd id: Education Topic #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Feeding v2: Bilious st: NotStopd id: GU Catheter Size t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 14 French st: NotStopd id: Heart Rate t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: PA line v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #2 Insert Date t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLE Temp/Color t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Pink st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: PCWP t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Unable to Stage v2: No st: NotStopd id: PressSore Depth #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Wth/Lth #1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 5 cm v2: 5 cm st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Heel, Right st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Pink st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Many Supports st: NotStopd id: INV#1 Cap Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Insulin Guideline t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 102 n1: 102 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 11/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: GT Flush t0: [00:00:00 11/02/2015] el: 1 ai: 110 cg: RN cu: CCU vo: 200 vu: ml id: ProBalance t0: [00:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Insulin t0: [00:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PA line cm Mark t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: cm st: NotStopd id: Heart Rate t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: PAP Mean t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 11/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 2 vu: ml id: ProBalance t0: [01:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Insulin t0: [01:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PA line cm Mark t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: cm st: NotStopd id: Heart Rate t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: PAP Mean t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/02/2015] el: 0 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 11/02/2015] 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 11/02/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Insulin t0: [02:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: Reason For Restraint t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Temp. Site t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: Behavior t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 11/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 11/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [02:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: ProBalance t0: [03:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: Pain Level t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Present t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [03:00:00 11/02/2015] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PA line cm Mark t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: cm st: NotStopd id: HOB t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: PAP Mean t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Arterial BP t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Cause t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Location t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PressureReduceDevice t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/02/2015] 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 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Skin Care t0: [00:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Therapeutic Bed t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Back Care t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [02:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [03:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Urine Out Foley t0: [02:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Insulin t0: [03:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PA line cm Mark t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: cm st: NotStopd id: Heart Rate t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: PAP Mean t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/02/2015] 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 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Insulin t0: [04:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Lactic Acid t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Ionized Calcium t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 1.05 n1: 1.05 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:09:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Alarms t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GU Catheter Size t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 14 French st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: PA line v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #2 Insert Date t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLE Temp/Color t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Pink st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: RLE Temp/Color t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Pink st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Guaiac t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV#1 Cap Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Insulin Guideline t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 11/02/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 11/02/2015] el: 1 ai: 112 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 11/02/2015] el: 1 ai: 209 cg: RN cu: CCU vo: 1 vu: ml id: ProBalance t0: [04:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 11/02/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: WBC (4-11,000) t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: WBC t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: Hematocrit t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 22.9 n1: 22.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 364 n1: 364 rs: Final st: NotStopd id: RBC t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 11/02/2015] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 rs: Final st: NotStopd
id: D5W 100.0ml t0: [04:00:00 11/02/2015] el: 2 ai: 190 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 11/02/2015] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml