This log is also available as text (239bc.txt) and as a (binary) annotation file (239bc.log).
Generated: Thursday, 23-Apr-2009 00:36:15 EDT
(All dates below are surrogates.)
pi: 4070196 hi: 10161 t0: [11:00:00 19/11/2018] tf: [10:00:00 21/11/2018] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 19/11/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [10:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [10:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [10:45:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:45:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [10:45:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:45:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products t0: [11:09:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Pain Present t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Daily Wake Up t0: [11:00:00 19/11/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Cause t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 19/11/2018] el: 1 ai: 190 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: LLL Lung Sounds t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd
id: Urine Out Foley t0: [11:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 215 vu: ml
id: Less Restrict Meas. t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Abdomen st: NotStopd id: Position Change t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd
id: Eye Care t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#3 Type/Site t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV Line#3SiteAppear t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: PT Splint Loc/Stat#1 t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: Skin Care t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#3 Tubing Change t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: ETT Mark/Location t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: 22 n2: 22 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Sputum Color/Consist t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [11:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: calprevflg t0: [11:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [11:40:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:40:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [10:41:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: INR t0: [10:41:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [10:41:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 44.2 n1: 44.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [10:41:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [10:41:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: PTT(22-35) t0: [10:41:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 44.2 n1: 44.2 rs: Final st: NotStopd
id: Packed RBC's 375.0ml t0: [11:40:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vu: ml uu: Units nb: 1
id: ETT Mark/Location t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6.53 n1: 6.53 u1: L/min st: NotStopd id: PEEP Set t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 871 n1: 871 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:50:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [11:55:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 193 n1: 193 rs: Manual st: NotStopd
id: Midazolam t0: [11:55:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:55:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 7 vu: ml id: Urine Out Foley t0: [12:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 340 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: GI Prophylaxis t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Applicable v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pupil Response R/L t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Blood Transfusio st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Abdomen st: NotStopd id: Position Change t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd
id: Service Type t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [12:00:00 19/11/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Midazolam t0: [12:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 11.6276 n1: 11.6276 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: SaO2 t0: [12:31:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: HOB t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PT Splint Loc/Stat#1 t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [10:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd
id: Service Type t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [12:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [12:40:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:40:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [13:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Present t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Cause t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Unable to score st: NotStopd id: Pain Location t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Left Leg st: NotStopd id: Pain Management t0: [13:00:00 19/11/2018] el: 1 cg: RN cu: CCU v1: PO Med v2: Repositioned st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [13:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Service Type t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98.96 n1: 98.96 u1: Deg. F st: NotStopd id: calprevflg t0: [13:40:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [13:40:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:40:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Packed RBC's 375.0ml t0: [12:40:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml uu: Units id: Packed RBC's 375.0ml t0: [13:40:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml uu: Units
id: Follows Commands t0: [08:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Follows Commands t0: [12:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd
id: Pain Present t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [14:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Art.pH t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 11.6586 n1: 11.6586 u1: ml/dl st: NotStopd id: Circulation/SkinInt t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Abdomen st: NotStopd id: Position Change t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Arterial Base Excess t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [14:22:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [14:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: ETT Mark/Location t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: 22 n2: 22 st: NotStopd id: PEEP Set t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Respiratory Rate Set t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Type t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [14:25:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Temperature F t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [15:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:15:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [15:15:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:15:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4071611 hi: 10161 t0: [22:00:00 19/11/2018] tf: [19:00:00 21/11/2018] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Sputum Color/Consist t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 18 vu: ml id: Packed RBC's 375.0ml t0: [14:00:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vu: ml uu: Units id: Packed RBC's 375.0ml t0: [14:40:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vo: 100 vu: ml uu: Units id: Packed RBC's 375.0ml t0: [15:20:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vo: 95 vu: ml uu: Units id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Gastric Meds t0: [13:00:00 19/11/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [13:00:00 19/11/2018] el: 1 ai: 338 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 55 vu: ml
id: Less Restrict Meas. t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Applicable v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Abdomen st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Angio Appearance #2 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Pupil Response R/L t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUE Temp/Color t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: HOB t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PT Splint Loc/Stat#1 t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: Skin Care t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [15:30:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22.6087 n1: 22.6087 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.55 n1: 7.55 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 592 n1: 592 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: Packed RBC's 375.0ml t0: [16:00:00 19/11/2018] el: 1 ai: -1 cg: RN cu: CCU vu: ml uu: Units st: Stopped id: Urine Out Foley t0: [17:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Midazolam t0: [17:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 11.6772 n1: 11.6772 u1: ml/dl st: NotStopd id: Previous WeightF t0: 4:00:00 el: 0 cg: 1663 cu: CCU u1: kg st: NotStopd id: Arterial Base Excess t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [17:02:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Blood Products Total t0: [23:00:00 19/11/2018] el: 2 cg: 1663 cu: CCU cv: 375 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: PT Splint Loc/Stat#1 t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Left Leg v2: On st: NotStopd id: Position t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: ETT Mark/Location t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: 22 n2: 22 st: NotStopd id: Minute Volume(Obser) t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 11.12 n1: 11.12 u1: L/min st: NotStopd id: PEEP Set t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 855 n1: 855 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Other/Remarks st: NotStopd id: Ventilator Type t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [18:20:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [18:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Education Topic #1 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Imp Skin Cleanse #1 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Drain/Amt#1 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Sanguinous v2: Small st: NotStopd id: ImpSkin Wound Base#1 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Abdomen st: NotStopd id: Side Rails t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Braden Activity t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU u1: mmHg u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Midazolam t0: [19:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Diet Type t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: Angio Site #1 t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Cause t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [18:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Pattern t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [17:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 18 vu: ml id: Gastric Meds t0: [17:00:00 19/11/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml id: Gastric Meds t0: [19:00:00 19/11/2018] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [17:00:00 19/11/2018] el: 1 ai: 338 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [19:00:00 19/11/2018] el: 1 ai: 338 cg: RN cu: CCU vo: 30 vu: ml id: Promote w/fiber t0: [19:00:00 19/11/2018] el: 1 ai: 1109 cg: RN cu: CCU vu: ml nb: 1 id: Urine Out Foley t0: [19:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 85 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Fingerstick Glucose t0: [19:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 168 n1: 168 rs: Manual st: NotStopd
id: Hematocrit t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 28.9 n1: 28.9 u1: % rs: Final st: NotStopd
id: PT t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 60.1 n1: 60.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: PTT(22-35) t0: [18:34:00 19/11/2018] el: 0 cg: 1663 cu: CCU v1: 60.1 n1: 60.1 rs: Final st: NotStopd
id: Service Type t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 145 n2: 145 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 19/11/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 19/11/2018] el: 1 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: Promote w/fiber t0: [20:00:00 19/11/2018] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 19/11/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml
id: Midazolam t0: [20:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 19/11/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2.5 n1: 2.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Combivent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 770 n1: 770 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: 770 n1: 770 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Other/Remarks st: NotStopd id: Ventilator Type t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 19/11/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Temperature C t0: [20:00:00 19/11/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: HOB Measurement t0: [20:00:00 19/11/2018] el: 0 cg: -1 cu: CCU st: D/C'd