This log is also available as text (238cc.txt) and as a (binary) annotation file (238cc.log).
Generated: Thursday, 23-Apr-2009 00:36:05 EDT
(All dates below are surrogates.)
id: Compliance (40-60ml) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: FiO2> 60% st: NotStopd id: ETT Mark/Location t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 481 n1: 481 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [05:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 39 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [06:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 24 vu: ml id: Urine Out Foley t0: [06:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Midazolam t0: [05:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [05:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.22137 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [06:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.22137 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 499 n1: 499 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:45:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 10 ru: ml/hr
id: Service Type t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Temp. Site t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [08:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 48 vu: ml id: Urine Out Foley t0: [08:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 6 vu: ml
id: Midazolam t0: [08:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [08:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.22137 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Reason For Restraint t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Verbal Response t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Midazolam t0: [09:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4231823 hi: 9974 t0: [10:00:00 26/11/2013] tf: [17:00:00 27/11/2013] mn: Azithromycin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xu: Enter on Label pi: 4231825 hi: 9974 t0: [10:00:00 26/11/2013] tf: [17:00:00 27/11/2013] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xu: Enter on Label pi: 4231826 hi: 9974 t0: [10:00:00 26/11/2013] tf: [09:00:00 27/11/2013] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Procedures t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cardiac Echo st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [09:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 24 vu: ml id: Urine Out Foley t0: [09:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Nitroprusside t0: [09:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: Airway Size t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Tidal Volume (Set) t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Type t0: [09:35:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Respiratory Rate t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [10:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 29.475 vu: ml id: Urine Out Foley t0: [10:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [10:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [10:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Cholesterol t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 u1: mg/dl rs: Final st: NotStopd id: Triglyceride t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd id: Cholesterol (<200) t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 u1: mg/dl rs: Final st: NotStopd id: Triglyceride (0-200) t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 111 n1: 111 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [11:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 39.3 vu: ml id: Urine Out Foley t0: [11:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [11:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [11:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [11:35:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:35:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:35:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:35:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:35:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:35:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Service Type t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [11:15:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [11:15:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [11:15:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [11:30:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 8.3 n1: 8.3 u1: L/min st: NotStopd id: PEEP Set t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 538 n1: 538 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [11:45:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:55:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [11:45:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:55:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [11:45:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [11:55:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [12:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [12:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 26/11/2013] el: 0 cg: CoWker cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Riker-SAS Scale t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Diet Type t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Sputum Color/Consist t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: INV#1 Cap Change t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [12:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 30.4575 vu: ml id: Urine Out Foley t0: [12:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Art.pH t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 13.4198 n1: 13.4198 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 178 n1: 178 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: SaO2 t0: [13:46:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: ETT Mark/Location t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: Airway Size t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Tank A psi. t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1000 n1: 1000 st: NotStopd id: Ventilator Type t0: [14:50:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4233136 hi: 9974 t0: [16:00:00 26/11/2013] tf: [17:00:00 27/11/2013] mn: Atropine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: X1:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 26/11/2013] 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: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [15:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [15:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: LLE Temp/Color t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Angio Appearance #1 t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: RLE Temp/Color t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd
id: Urine Out Foley t0: [15:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: CVP t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd
id: INV Line#1 Type/Site t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#3SiteAppear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Dsg Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Tubing Change t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Education Barrier t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd id: Family Communication t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: PAP Mean t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Position t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Behavior t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [12:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [15:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 58.95 vu: ml id: Cath Lab Intake t0: [15:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1000 n1: 1000 st: NotStopd id: Ve High t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 565 n1: 565 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: MDI #1 (Puff/Drug) t0: [12:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Albumin t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: ALT t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 59 n1: 59 rs: Final st: NotStopd id: Albumin (>3.2) t0: [02:55:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [17:00:00 26/11/2013] el: 0 cg: CoWker cu: CCU v1: 108 n1: 108 rs: Manual st: NotStopd
id: CT #2 Dressing t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd id: CT #2 Fluctuate/Leak t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Less Restrict Meas. t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Pre-Op st: NotStopd id: Eye Opening t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LLL Lung Sounds t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PAP Mean t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP Mean t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 29 n2: 29 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 26/11/2013] 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: [17:00:00 26/11/2013] 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: [16:00:00 26/11/2013] 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: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/11/2013] 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: [17:00:00 26/11/2013] 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: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RLL Lung Sounds t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Reason For Restraint t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Verbal Response t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Crepitus t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Serous st: NotStopd id: CT #1 Dressing t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Changed st: NotStopd id: CT #1 Fluctuate/Leak t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [17:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Straw st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [17:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 11.79 vu: ml id: Urine Out Foley t0: [17:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml
id: Midazolam t0: [16:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [16:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [17:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PNC's st: NotStopd id: Heart Rate t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 26/11/2013] 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: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [18:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 5.895 vu: ml id: Urine Out Foley t0: [18:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [18:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [18:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [15:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd
id: Mixed Venous O2 t0: [19:33:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Risk for Falls t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: Heart Rate t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PAP Mean t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 51 n1: 51 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: PEEP Set t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Precautions t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 26/11/2013] el: 0 cg: RRT 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 26/11/2013] el: 0 cg: RRT 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 26/11/2013] el: 0 cg: RRT 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 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 26/11/2013] el: 0 cg: RRT 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 26/11/2013] el: 0 cg: RRT cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Auto-PEEP Level t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1000 n1: 1000 st: NotStopd id: Tank B psi. t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 506 n1: 506 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: calprevflg t0: [19:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [19:00:00 26/11/2013] el: 1 cg: RRT cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [19:00:00 26/11/2013] el: 1 cg: RRT cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 26/11/2013] 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/11/2013] 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/11/2013] el: 0 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [20:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [20:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hemoglobin t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8.6 n1: 8.6 u1: gm/dl rs: Manual st: NotStopd
id: Alarms t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Procedures t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sheath D/C st: NotStopd id: Temp. Site t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: Mixed Venous O2% Sat t0: [19:00:00 26/11/2013] el: 0 cg: RN cu: CCU rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 73 n1: 73 rs: Manual st: NotStopd
id: SpO2 t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: C.O. (fick) t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7.11076 n1: 7.11076 u1: L/min st: NotStopd
id: CVP t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Arterial BP t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd
id: CVP t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Arterial BP t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd
id: SpO2 t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Hemoglobin t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8.7 n1: 8.7 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 73 n1: 73 rs: Manual st: NotStopd id: C.O. (fick) t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7.02903 n1: 7.02903 u1: L/min st: NotStopd
id: Hematocrit t0: [19:23:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 26.4 n1: 26.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [19:23:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: gm/dl rs: Final st: NotStopd
id: Service Type t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Cardiac Index t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 4.0113 n1: 4.0113 u1: ... st: NotStopd id: Cardiac Index t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 4.0113 n1: 4.0113 u1: ... st: NotStopd id: Cardiac Index t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 3.9548 n1: 3.9548 u1: ... st: NotStopd id: Code Status t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: LCW t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 6.188 n1: 6.188 u1: kg x m st: NotStopd id: LCWI t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 3.50282 n1: 3.50282 u1: ... st: NotStopd id: LVSW t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 71.808 n1: 71.808 u1: g * m st: NotStopd id: LVSW t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 70.72 n1: 70.72 u1: g * m st: NotStopd id: LVSW t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 70.72 n1: 70.72 u1: g * m st: NotStopd id: LVSWI t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 40.678 n1: 40.678 u1: g*m/m2 st: NotStopd id: LVSWI t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 40.113 n1: 40.113 u1: g*m/m2 st: NotStopd id: LVSWI t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 40.113 n1: 40.113 u1: g*m/m2 st: NotStopd id: PAP Mean t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP S/D t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 26/11/2013] 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 26/11/2013] 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 26/11/2013] 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 26/11/2013] el: 0 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RCW t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 3.332 n1: 3.332 u1: kg * m st: NotStopd id: RCWI t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1.88136 n1: 1.88136 u1: ... st: NotStopd id: RVSW t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 38.08 n1: 38.08 u1: g * m st: NotStopd id: RVSWI t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 21.5254 n1: 21.5254 u1: g*m/m2 st: NotStopd id: Respiratory Rate t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SVI t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 45.1977 n1: 45.1977 u1: ... st: NotStopd id: SVR t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 674.286 n1: 674.286 u1: ... st: NotStopd id: SVR t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 651.429 n1: 651.429 u1: ... st: NotStopd id: SVR t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 651.429 n1: 651.429 u1: ... st: NotStopd id: SVRI t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1177.06 n1: 1177.06 u1: ... st: NotStopd id: SVRI t0: [19:34:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1137.16 n1: 1137.16 u1: ... st: NotStopd id: SVRI t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1154.43 n1: 1154.43 u1: ... st: NotStopd id: Stroke Volume t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 79.5455 n1: 79.5455 u1: ml st: NotStopd id: calprevflg t0: [19:30:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Hematocrit t0: [19:35:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: % rs: Manual st: NotStopd
id: Midazolam t0: [19:30:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [19:30:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [19:34:00 26/11/2013] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 u1: % rs: Final st: NotStopd
id: Pain Assess Method t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 26/11/2013] 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 26/11/2013] 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 26/11/2013] 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/11/2013] el: 0 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [21:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 19.65 vu: ml id: Urine Out Foley t0: [21:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 10.5 vu: ml
id: Midazolam t0: [21:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [21:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [21:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: Airway Size t0: [21:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [21:00:00 26/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 26/11/2013] el: 0 cg: CoWker cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd
id: CT #2 Dressing t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: CT #2 Fluctuate/Leak t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Less Restrict Meas. t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Doppler st: NotStopd id: ETT Mark/Location t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 19cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#3InsertDate t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Insert Date t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Insert Date t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Airway Size t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: LLE Temp/Color t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LLL Lung Sounds t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Angio Appearance #1 t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PAP Mean t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: PAP Mean t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PAP S/D t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Dsg Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 26/11/2013] 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: [23:00:00 26/11/2013] 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: [23:05:00 26/11/2013] 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:05:00 26/11/2013] 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:05:00 26/11/2013] el: 0 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 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Radiologic Study t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: CT scan st: NotStopd id: Reason For Restraint t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Stool Guaiac t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Tubing Change t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Ventilator Type t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:05:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd id: CT #1 Crepitus t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Serous st: NotStopd id: CT #1 Fluctuate/Leak t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Serous st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [23:00:00 26/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 9.825 vu: ml id: Urine Out Foley t0: [23:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 26/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 7 vu: ml
id: Midazolam t0: [22:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:05:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [22:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [23:00:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [23:05:00 26/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Total Hourly Output t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: 100 cv: 1405 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: 100 cv: 1405 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 9.7 n1: 9.7 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank B psi. t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 545 n1: 545 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: INV Line#3 Zero/Cal t0: [02:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3SiteAppear t0: [02:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 WaveformAppear t0: [02:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd
id: Art.pH t0: [02:32:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:32:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:32:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:32:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:32:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 116 n1: 116 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:32:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: CT #2 Fluctuate/Leak t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Less Restrict Meas. t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV Line#3 D/C Date t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#3 Type/Site t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#3 Type/Site t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Femoral st: NotStopd id: INV Line#3 Zero/Cal t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#3InsertDate t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#3SiteAppear t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU st: NotStopd id: Abdominal Assessment t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: INV#3 WaveformAppear t0: [23:00:00 26/11/2013] el: 0 cg: RN cu: CCU st: NotStopd id: IV #1 Insert Date t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Insert Date t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Insert Date t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: LLL Lung Sounds t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Care t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Dsg Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 27/11/2013] 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: [01:00:00 27/11/2013] 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: [02:00:00 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/11/2013] el: 0 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: RLL Lung Sounds t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Stool Guaiac t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#3 Tubing Change t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Verbal Response t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: CT #1 Dressing t0: [22:00:00 26/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Midazolam t0: [00:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Assess Method t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Arterial BP t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/11/2013] el: 0 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 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Temp. Site t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Temperature F t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Ventilator Type t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 26/11/2013] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 40 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [03:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 19.65 vu: ml id: Urine Out Foley t0: [00:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 14 vu: ml
id: Midazolam t0: [03:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: 36.825 cv: 741.843 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: 36.825 cv: 1041.84 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: -63.175 cv: -363.158 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: -63.175 cv: -725.057 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 26/11/2013] el: 2 cg: RN cu: CCU pv: -63.175 cv: -63.175 ac: 1 ap: none re: 0
id: INV Line#3 Type/Site t0: [03:01:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#3InsertDate t0: [03:01:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Dsg Change t0: [03:01:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Cap Change t0: [03:01:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 Tubing Change t0: [03:01:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd
id: Nitroprusside t0: [03:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd
id: Hematocrit t0: [02:09:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 24.6 n1: 24.6 u1: % rs: Final st: NotStopd
id: Blood Products t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: PAP Mean t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: PAP S/D t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg v2: 3 n2: 3 u2: mmHg st: NotStopd id: Arterial BP t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:30:00 27/11/2013] 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: [04:00:00 27/11/2013] 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: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/11/2013] 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: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/11/2013] 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: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: calprevflg t0: [03:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [04:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 2.9475 vu: ml id: Urine Out Foley t0: [04:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [03:30:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [03:30:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [04:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 548 n1: 548 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 rs: Final st: NotStopd id: WBC t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 rs: Final st: NotStopd id: Hematocrit t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 23.6 n1: 23.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 199 n1: 199 rs: Final st: NotStopd id: RBC t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 2.58 n1: 2.58 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 rs: Final st: NotStopd
id: BUN t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 0.4 n1: 0.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:07:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
io: Packed RBC's 360.0ml el: 1 cg: RN cu: CCU ra: 90 ru: ml/hr
id: CT #2 Dressing t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Suction Amount t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Service Type t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Angio Site #1 t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 27/11/2013] 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: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: calprevflg t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Dressing t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Suction Amount t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [05:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 5.895 vu: ml id: Chest Tubes Left Pleural 1 t0: [05:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: Chest Tubes Right Pleural 1 t0: [05:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: Packed RBC's 360.0ml t0: [05:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [05:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [05:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [05:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: PAP Mean t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: PAP S/D t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg v2: 2 n2: 2 u2: mmHg st: NotStopd id: Arterial BP t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:15:00 27/11/2013] 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: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Temp. Site t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [05:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [05:15:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Nitroprusside t0: [05:15:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Heart Rate t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Arterial BP t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 27/11/2013] 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: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Ventilator Type t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [06:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 5.895 vu: ml id: Packed RBC's 360.0ml t0: [06:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 90 vu: ml uu: Units id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [06:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PAP Mean t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP Mean t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP Mean t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP Mean t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd
id: Nitroprusside t0: [06:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: CT #2 Dressing t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Assess Method t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest Tube Site #1 t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: ETT Mark/Location t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: LLE Temp/Color t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Angio Appearance #1 t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oozing v2: Oozing st: NotStopd id: Angio Dressing #1 t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Angio Site #1 t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 27/11/2013] 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: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Cool v2: Pale st: NotStopd id: Respiratory Pattern t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CT #1 Crepitus t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [07:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Packed RBC's 360.0ml t0: [07:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 90 vu: ml uu: Units id: Urine Out Foley t0: [07:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [07:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1:3.2 st: NotStopd id: Airway Size t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 559 n1: 559 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: CT #2 Suction Amount t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Present t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Angio Site #1 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Cause t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: Service Type t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 27/11/2013] 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: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Packed RBC's 360.0ml t0: [08:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 90 vu: ml uu: Units id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Midazolam t0: [08:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLE Temp/Color t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Dressing #1 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: RLE Temp/Color t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Pale st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd
id: Alarms t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd
id: Urine Out Foley t0: [08:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: CT #2 Dressing t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: GCS Total t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Level of Conscious t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Verbal Response t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Crepitus t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Service Type t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 27/11/2013] 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: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [09:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Less Restrict Meas. t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Position Change t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: INV Line#1 Zero/Cal t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Oral Care t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
pi: 4235707 hi: 9974 t0: [11:00:00 27/11/2013] tf: [12:00:00 27/11/2013] mn: Nitroprusside Sodium pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4235708 hi: 9974 t0: [11:00:00 27/11/2013] tf: [17:00:00 27/11/2013] mn: Dobutamine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4235723 hi: 9974 t0: [11:00:00 27/11/2013] tf: [17:00:00 27/11/2013] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4235724 hi: 9974 t0: [11:00:00 27/11/2013] tf: [11:00:00 27/11/2013] mn: Potassium Chloride pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Temp. Site t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd
id: Pain Present t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 27/11/2013] el: 1 cg: RN cu: CCU st: NotStopd id: Risk for Falls t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 27/11/2013] 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: [10:45:00 27/11/2013] 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: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [10:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:45:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Nitroprusside t0: [10:45:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: CT #2 Suction Amount t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: LLL Lung Sounds t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Angio Site #1 t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: RLL Lung Sounds t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: CT #1 Suction Amount t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [10:45:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml nb: 1 id: Packed RBC's 360.0ml t0: [09:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 105 vu: ml uu: Units st: Stopped id: Urine Out Foley t0: [09:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [10:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3.5 vu: ml
id: Blood Products Total t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: HOB t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: HOB Measurement t0: [09:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Back Care t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#2 Zero/Cal t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:55:00 27/11/2013] 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: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:55:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [10:55:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 27/11/2013] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4235816 hi: 9974 t0: [11:00:00 27/11/2013] tf: [17:00:00 27/11/2013] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 27/11/2013] 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: [11:10:00 27/11/2013] 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: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:10:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [11:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [11:10:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:15:00 27/11/2013] 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: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:15:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [11:15:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Chest Tubes Left Pleural 1 t0: [11:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: Chest Tubes Right Pleural 1 t0: [11:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: ETT Mark/Location t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 494 n1: 494 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:20:00 27/11/2013] 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: [11:25:00 27/11/2013] 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: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:25:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [11:20:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [11:20:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 27/11/2013] 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: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [11:30:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd
id: CaO2 t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 10.5452 n1: 10.5452 u1: ml/dl st: NotStopd id: SaO2 t0: [11:46:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 90 n1: 90 u1: % rs: Final st: NotStopd
id: Service Type t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 27/11/2013] 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: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [11:45:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: CT #2 Suction Amount t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GCS Total t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Level of Conscious t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: CT #2 Dressing t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLE Temp/Color t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Angio Dressing #1 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [08:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Stool Guaiac t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [11:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
pi: 4236088 hi: 9974 t0: [13:00:00 27/11/2013] tf: [17:00:00 27/11/2013] mn: Nitroprusside Sodium pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4236130 hi: 9974 t0: [13:00:00 27/11/2013] tf: [00:00:00 29/11/2013] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Education Topic #1 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Side Rails t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Alarms t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 27/11/2013] 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: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [12:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [12:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 43.2 vu: ml id: Urine Out Foley t0: [12:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Service Type t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:30:00 27/11/2013] 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: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [12:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [12:30:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: CaO2 t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 10.6666 n1: 10.6666 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: SaO2 t0: [12:30:00 27/11/2013] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 u1: % rs: Final st: NotStopd
id: BSA t0: [13:19:00 27/11/2013] el: 1033 cg: -1 cu: CCU v1: 1.76976 n1: 1.76976 u1: m2 id: Admit Wt t0: [13:19:00 27/11/2013] el: 1032 cg: -1 cu: CCU v1: 65.5 n1: 65.5 u1: kg id: Allergy 1 t0: [13:19:00 27/11/2013] el: 1020 cg: -1 cu: CCU v1: Penicillins id: Diagnosis/op t0: [13:19:00 27/11/2013] el: 1023 cg: -1 cu: CCU v1: PULMONARY EDEMA id: Service t0: [13:19:00 27/11/2013] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [13:19:00 27/11/2013] el: 1034 cg: -1 cu: CCU v1: 67 n1: 67 u1: inches id: Readmission t0: [13:19:00 27/11/2013] el: 1014 cg: -1 cu: CCU v1: No id: Marital Status t0: [13:19:00 27/11/2013] el: 1006 cg: -1 cu: CCU v1: W id: Religion t0: [13:19:00 27/11/2013] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [13:19:00 27/11/2013] el: 1021 cg: -1 cu: CCU v1: Sulfa (Sulfonamides) id: Ext t0: [13:19:00 27/11/2013] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [13:19:00 27/11/2013] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 27/11/2013] 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: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [13:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #2 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: HOB t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Therapeutic Bed t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: INV Line#1 Type/Site t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd
id: ETT Mark/Location t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: PEEP Set t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Respiratory Rate Set t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Type t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [13:30:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4236429 hi: 9974 t0: [15:00:00 27/11/2013] tf: [00:00:00 29/11/2013] mn: Morphine Sulfate pt: IV Piggyback st: Discontinued via patient discharge rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Service Type t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 27/11/2013] 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: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [14:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 19cm v2: Lip st: NotStopd id: Extubation Date t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: FiO2 Set t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: Airway Size t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 v2: 11 n2: 11 st: NotStopd id: O2 Delivery Device t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [15:40:00 27/11/2013] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd
id: Morphine Sulfate io: D5W 100.0ml + 100mghr Morphine Sulfate el: 100 cg: RN cu: CCU am: 100 du: mghr rt: IV Drip
id: GI#1 Intub Site t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: GI Intub #1/Site t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 D/C Date t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [16:00:00 27/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd
io: D5W 100.0ml + 100mghr Morphine Sulfate el: 1 cg: RN cu: CCU ra: 1 ru: ml/hr
id: Pain Present t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Management t0: [15:45:00 27/11/2013] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Pain Management t0: [16:00:00 27/11/2013] el: 1 cg: RN cu: CCU v1: IV Gtt v2: IV Push st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 27/11/2013] 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: [15:45:00 27/11/2013] 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: [16:00:00 27/11/2013] 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: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Significant Events t0: [15:30:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Extubated st: NotStopd id: SpO2 t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [16:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [16:15:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Nitroprusside t0: [15:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [15:45:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [16:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [16:15:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [13:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 46.1775 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [14:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 49.125 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [15:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 49.125 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [16:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 39.3 vu: ml id: Urine Out Foley t0: [13:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [14:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Less Restrict Meas. t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Family Communication t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Position Change t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [14:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: HOB t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#2 D/C Date t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 15 n2: 15 st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Position t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#1 Cap Change t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: CT #2 Dressing t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: LLE Temp/Color t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: RLE Temp/Color t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: CT #1 Crepitus t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Service Type t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 27/11/2013] 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: [17:45:00 27/11/2013] 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: [17:00:00 27/11/2013] 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: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [17:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [17:45:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Nitroprusside t0: [17:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [17:45:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [17:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 39.3 vu: ml id: Chest Tubes Left Pleural 1 t0: [17:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Chest Tubes Right Pleural 1 t0: [17:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [17:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Total Hourly Output t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU cv: 705 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU cv: 1495 ac: 24 ap: none re: 0 id: Chest Tube Out Total t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU cv: 790 ac: 24 ap: none re: 0
id: CT #2 Suction Amount t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Education Barrier t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [17:45:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Site #1 t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Suction Amount t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [17:46:00 27/11/2013] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 27/11/2013] 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: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [18:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Eye Opening t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Verbal Response t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Pain Present t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Cause t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Management t0: [18:00:00 27/11/2013] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd
id: CT #2 Suction Amount t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Family Communication t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GU Cath Insert Date t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: LLE Temp/Color t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [17:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Site #1 t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: CT #1 Suction Amount t0: [18:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [16:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [17:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 1.75 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [18:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [19:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Pain Present t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Management t0: [20:00:00 27/11/2013] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Constant st: NotStopd id: Arterial BP Mean t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 27/11/2013] 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 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/11/2013] el: 0 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [20:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 27/11/2013] 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 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/11/2013] el: 0 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [21:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: HOB t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: HOB t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Position t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Therapeutic Bed t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: CT #2 Dressing t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Service Type t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Parameters Checked t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLE Temp/Color t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 27/11/2013] 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 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/11/2013] el: 0 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 27/11/2013] 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 27/11/2013] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Stool Guaiac t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [22:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [20:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [21:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [22:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml
id: Morphine Sulfate t0: [22:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: CT #2 Dressing t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Present t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Code Status t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Coping st: NotStopd id: Eye Opening t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: FiO2 Set t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: O2 Delivery Device t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Pain Cause t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 28/11/2013] 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: [23:00:00 27/11/2013] 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/11/2013] 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/11/2013] el: 0 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Stool Guaiac t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [00:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [23:00:00 27/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [00:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Morphine Sulfate t0: [00:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [23:00:00 27/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Parameters Checked t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 28/11/2013] 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 28/11/2013] 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/11/2013] el: 0 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [01:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Oral Care t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 28/11/2013] 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 28/11/2013] 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/11/2013] el: 0 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [01:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [02:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Urine Out Foley t0: [02:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Morphine Sulfate t0: [02:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Insert Date t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #3 Site/Size t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Service Type t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 28/11/2013] 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 28/11/2013] 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/11/2013] el: 0 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [03:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/11/2013] el: 1 ai: 189 cg: RN cu: CCU vu: ml
id: IV Infusion In Total t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU pv: 3 cv: 557.865 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU pv: 3 cv: 932.865 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU pv: 3 cv: -562.135 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU pv: 3 cv: -1287.19 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/11/2013] el: 2 cg: RN cu: CCU pv: 3 cv: 3 ac: 1 ap: none re: 0
id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/11/2013] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd
id: CT #2 Dressing t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Pain Present t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Chest Tube Site #1 t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Code Status t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Heart Rate t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Angio Appearance #1 t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: O2 Delivery Device t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Pain Cause t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 28/11/2013] 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 28/11/2013] 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/11/2013] el: 0 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 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Side Rails t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Stool Guaiac t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: CT #1 Crepitus t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [03:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [04:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 1 vu: ml id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [05:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 1 vu: ml
id: Morphine Sulfate t0: [04:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Service Type t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Code Status t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Alarms t0: [04:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Alarms t0: [20:00:00 27/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Heart Rate t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 28/11/2013] 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: [06:00:00 28/11/2013] 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: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [05:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [06:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: HOB t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [05:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Service Type t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Code Status t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Alarms t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Heart Rate t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 28/11/2013] 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: [07:30:00 28/11/2013] 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: [07:00:00 28/11/2013] 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: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/11/2013] 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: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [07:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [07:30:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: FiO2 Set t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: torr st: NotStopd id: O2 Delivery Device t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Pain Cause t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [07:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2 vu: ml id: Chest Tubes Left Pleural 1 t0: [06:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 280 vu: ml id: Chest Tubes Right Pleural 1 t0: [07:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [07:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 10 vu: ml
id: Chest Tube Out Total t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 300 ac: 24 ap: none re: 0
id: INV Line#1 Type/Site t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Side Rails t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: Pt./Family Informed t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: CT #2 Dressing t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #2 Fluctuate/Leak t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GU Cath Insert Date t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: CT #1 Crepitus t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #1 Drainage t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Dressing t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Crepitus t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: CT #2 Drainage t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sanguinous st: NotStopd
id: Service Type t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Eye Opening t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Heart Rate t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unresponsive st: NotStopd id: Orientation t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/11/2013] 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: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Verbal Response t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: calprevflg t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [08:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: GCS Total t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Motor Response t0: [08:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd
id: Service Type t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: OFF st: NotStopd id: Heart Rate t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 28/11/2013] 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: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [09:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Education Barrier t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: Level of Conscious t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Cause t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Verbal Response t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [09:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 1.25 vu: ml id: Urine Out Foley t0: [09:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: HOB t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Family Communication t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 28/11/2013] 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: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [10:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Code Status t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Riker-SAS Scale t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 28/11/2013] 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: [11:40:00 28/11/2013] 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: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:40:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [11:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [11:40:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 28/11/2013] 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: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [12:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Riker-SAS Scale t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 28/11/2013] 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: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [13:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2.66667 vu: ml id: Urine Out Foley t0: [13:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 10 vu: ml
id: Morphine Sulfate t0: [13:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 185 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 485 ac: 24 ap: none re: 0
id: CT #2 Fluctuate/Leak t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #2 Suction Amount t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Suction Amount t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #1 t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Anterior st: NotStopd id: Chest Tube Site #2 t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Chest Tube Site #2 t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Anterior st: NotStopd id: Diet Type t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [11:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Cath Insert Date t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 9 n2: 9 st: NotStopd id: GU Catheter Size t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: GU Catheter Size t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 16 French st: NotStopd id: Level of Conscious t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Orientation t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Respiratory Pattern t0: [10:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: CT #1 Drainage t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: CT #1 Fluctuate/Leak t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #1 Suction Amount t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 20 cm st: NotStopd id: CT #2 Drainage t0: [13:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd
id: HOB t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 28/11/2013] 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: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [13:45:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [13:45:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Arterial BP t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: Morphine Sulfate t0: [14:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [15:00:00 28/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Site Date t0: [15:00:00 28/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [15:00:00 28/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [15:00:00 28/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [15:00:00 28/11/2013] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: NBP t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 28/11/2013] 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: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU u1: % st: NotStopd id: calprevflg t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [15:00:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: SpO2 t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: % st: NotStopd
id: Pain Present t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Family Communication t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd
id: D5W 100.0ml + 100mghr Morphine Sulfate t0: [14:00:00 28/11/2013] el: 1 ai: 107 cg: RN cu: CCU vo: 2.125 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 18.0417 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 18.0417 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: -466.958 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: -1754.15 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/11/2013] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0
id: INV Line#1 D/C Date t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 16 n2: 16 st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Insert Date t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 14 n2: 14 st: NotStopd id: IV #3 Site/Size t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Oral Care t0: [14:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Cap Change t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 11 n1: 11 v2: 13 n2: 13 st: NotStopd
id: Service Type t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Comfort Measures st: NotStopd id: Risk for Falls t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Precautions t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 28/11/2013] 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: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [15:30:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:35:00 28/11/2013] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [15:30:00 28/11/2013] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
ci: 37459 t0: [13:14:00 25/11/2013] cu: CCU di: No Disch Status dt: 4747