This log is also available as text (240ac.txt) and as a (binary) annotation file (240ac.log).
Generated: Thursday, 23-Apr-2009 00:36:16 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 09/02/2020] el: 0 cg: LCP cu: LCP at MIT n1: 15
id: Pain Present t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Readmit <48 hrs t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Ectopy Frequency t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Pain Location t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Precautions t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 38.5556 n1: 38.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 101.4 n1: 101.4 u1: Deg. F st: NotStopd id: calprevflg t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: BSA t0: [11:44:00 09/02/2020] el: 1033 cg: 3029 cu: CSRU id: Admit Wt t0: [11:44:00 09/02/2020] el: 1032 cg: 3029 cu: CSRU id: Allergy 1 t0: [11:44:00 09/02/2020] el: 1020 cg: 3029 cu: CSRU v1: Haldol (Oral) (Haloperidol Lactate) id: Diagnosis/op t0: [11:44:00 09/02/2020] el: 1023 cg: 3029 cu: CSRU v1: UROSEPSIS id: Service t0: [11:44:00 09/02/2020] el: 1026 cg: 3029 cu: CSRU v1: MED id: Admit Ht t0: [11:44:00 09/02/2020] el: 1034 cg: 3029 cu: CSRU id: Readmission t0: [11:44:00 09/02/2020] el: 1014 cg: 3029 cu: CSRU id: Marital Status t0: [11:44:00 09/02/2020] el: 1006 cg: 3029 cu: CSRU v1: S id: Religion t0: [11:44:00 09/02/2020] el: 1000 cg: 3029 cu: CSRU v1: RCA id: Allergy 2 t0: [11:44:00 09/02/2020] el: 1021 cg: 3029 cu: CSRU v1: Perphenazine id: Ext t0: [11:44:00 09/02/2020] el: 1010 cg: 3029 cu: CSRU id: Allergy 3 t0: [11:44:00 09/02/2020] el: 1022 cg: 3029 cu: CSRU
id: Art.pH t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Lactic Acid t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [11:52:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd
pi: 4494649 hi: 10131 t0: [13:00:00 09/02/2020] tf: [13:00:00 09/02/2020] mn: Lidocaine Jelly 2% (Urojet) pt: Unit Dose st: Discontinued rt: TP fr: PRN di: Ongoing xv: 36 xu: Hours pi: 4494675 hi: 10131 t0: [13:00:00 09/02/2020] tf: [14:00:00 09/02/2020] mn: CeftriaXONE pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 13 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4494676 hi: 10131 t0: [20:00:00 09/02/2020] tf: [14:00:00 09/02/2020] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours
id: BUN t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: Albumin t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Calcium t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Total Bili t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: Uric Acid t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: ALT t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 63 n1: 63 rs: Final st: NotStopd id: Albumin (>3.2) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Amylase t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd id: BUN (6-20) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Uric Acid (2.7-7.0) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: PT t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: INR t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29.5 n1: 29.5 rs: Final st: NotStopd id: Dorsal PedPulse R/L t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Eye Opening t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Procedures t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Pattern t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Verbal Response t0: [11:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: INR (2-4 ref. range) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: PTT(22-35) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29.5 n1: 29.5 rs: Final st: NotStopd
id: Urine Out Foley t0: [12:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 680 vu: ml
id: Service Type t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Diet Type t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: NBP t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Oral Cavity t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Precautions t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Rate t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 09/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 500 vu: ml
id: Less Restrict Meas. t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Anxiety st: NotStopd id: Education Handout t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: GU Cath Insert Date t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Heart Rate t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: IV #1 Insert Date t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Restraint Location t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Turn t0: [12:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [11:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 09/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [13:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
pi: 4494790 hi: 10131 t0: [22:00:00 09/02/2020] tf: [15:00:00 09/02/2020] mn: Quetiapine Fumarate pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4494791 hi: 10131 t0: [22:00:00 09/02/2020] tf: [15:00:00 09/02/2020] mn: Quetiapine Fumarate pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4494792 hi: 10131 t0: [10:00:00 09/02/2020] tf: [23:00:00 17/02/2020] mn: Olanzapine pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4494793 hi: 10131 t0: [14:00:00 09/02/2020] tf: [17:00:00 09/02/2020] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4494794 hi: 10131 t0: [14:00:00 09/02/2020] tf: [14:00:00 09/02/2020] mn: Lorazepam pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4494795 hi: 10131 t0: [14:00:00 09/02/2020] tf: [14:00:00 09/02/2020] mn: Ciprofloxacin HCl pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 14, 2 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4494796 hi: 10131 t0: [14:00:00 09/02/2020] tf: [00:00:00 14/02/2020] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4494797 hi: 10131 t0: [14:00:00 09/02/2020] tf: [13:00:00 10/02/2020] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4494798 hi: 10131 t0: [14:00:00 09/02/2020] tf: [13:00:00 10/02/2020] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4494799 hi: 10131 t0: [14:00:00 09/02/2020] tf: [23:00:00 17/02/2020] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4494800 hi: 10131 t0: [14:00:00 09/02/2020] tf: [13:00:00 10/02/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4494801 hi: 10131 t0: [14:00:00 09/02/2020] tf: [13:00:00 10/02/2020] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: WBC t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: Hematocrit t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 38.4 n1: 38.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 221 n1: 221 rs: Final st: NotStopd id: RBC t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.41 n1: 4.41 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 15.4 n1: 15.4 rs: Final st: NotStopd
id: CPK/MB t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: NBP t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 09/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [14:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
pi: 4494901 hi: 10131 t0: [15:00:00 09/02/2020] tf: [14:00:00 10/02/2020] mn: Sodium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4494959 hi: 10131 t0: [15:00:00 09/02/2020] tf: [00:00:00 14/02/2020] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4494960 hi: 10131 t0: [15:00:00 09/02/2020] tf: [10:00:00 10/02/2020] mn: Ciprofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 15, 3 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4494961 hi: 10131 t0: [13:00:00 09/02/2020] tf: [14:00:00 15/02/2020] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 13 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4494962 hi: 10131 t0: [20:00:00 09/02/2020] tf: [15:00:00 17/02/2020] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 70 di: Hours xv: 36 xu: Hours
id: Differential-Bands t0: [11:06:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd
id: D5W 100.0ml t0: [14:30:00 09/02/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: D5W 100.0ml t0: [15:00:00 09/02/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: D5W 100.0ml t0: [15:00:00 09/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml
id: CVP t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd
id: Service Type t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 09/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [15:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [15:00:00 09/02/2020] el: 3 ai: 117 cg: RN cu: CSRU vo: 1000 vu: ml
id: D5W 100.0ml t0: [16:00:00 09/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [16:00:00 09/02/2020] el: 3 ai: 117 cg: RN cu: CSRU vo: 62.5 vu: ml id: Urine Out Foley t0: [16:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Art.pH t0: [15:45:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:45:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:45:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:45:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:45:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:45:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
pi: 4495211 hi: 10131 t0: [10:00:00 09/02/2020] tf: [22:00:00 10/02/2020] mn: Thiamine HCl pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4495212 hi: 10131 t0: [17:00:00 09/02/2020] tf: [22:00:00 10/02/2020] mn: Multivitamins pt: Unit Dose st: Discontinued rt: IV fr: Q24H ds: 17 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4495213 hi: 10131 t0: [17:00:00 09/02/2020] tf: [23:00:00 09/02/2020] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4495216 hi: 10131 t0: [10:00:00 09/02/2020] tf: [22:00:00 10/02/2020] mn: FoLIC Acid pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Diet Type t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Anxiety st: NotStopd id: Education Handout t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: calprevflg t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 09/02/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: O2 Delivery Device t0: [15:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [15:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Art.pH t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: Lactic Acid t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 285 n1: 285 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [16:37:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd
pi: 4495342 hi: 10131 t0: [18:00:00 09/02/2020] tf: [14:00:00 10/02/2020] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Discontinued rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4495343 hi: 10131 t0: [18:00:00 09/02/2020] tf: [22:00:00 09/02/2020] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4495344 hi: 10131 t0: [18:00:00 09/02/2020] tf: [17:00:00 10/02/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 3000 ml Over 120 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 09/02/2020] el: 3 ai: 117 cg: RN cu: CSRU vo: 62.5 vu: ml id: Urine Out Foley t0: [17:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 09/02/2020] el: 3 ai: 117 cg: RN cu: CSRU vo: 62.5 vu: ml id: Urine Out Foley t0: [18:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Less Restrict Meas. t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Diet Type t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 D/C Date t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: IV Site Appear #2 t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: Oral Cavity t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Location t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: MVI io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CSRU am: 10 du: ml rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 1 cg: RN cu: CSRU ra: 62.5 ru: ml/hr
id: Service Type t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:30:00 09/02/2020] el: 3 ai: 117 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 500.0ml t0: [20:30:00 09/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml nb: 1 id: Urine Out Foley t0: [20:30:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Service Type t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 09/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 500.0ml t0: [21:00:00 09/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 31.25 vu: ml id: Urine Out Foley t0: [21:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: WBC (4-11,000) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: WBC t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: Hematocrit t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 37.2 n1: 37.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 184 n1: 184 rs: Final st: NotStopd id: RBC t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.21 n1: 4.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: HOB t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Position t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Independent st: NotStopd id: Reason For Restraint t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Turns by self st: NotStopd id: Pt./Family Informed t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Differential-Bands t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd
id: PT t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: INR t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 30.7 n1: 30.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: PTT(22-35) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 30.7 n1: 30.7 rs: Final st: NotStopd
id: BUN t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Albumin t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Calcium t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: ALT t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Albumin (>3.2) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Amylase t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: BUN (6-20) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:30:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [22:00:00 09/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Urine Out Foley t0: [22:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
pi: 4495770 hi: 10131 t0: [23:00:00 09/02/2020] tf: [23:00:00 09/02/2020] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [22:00:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:00:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:00:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:00:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:00:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:00:00 09/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: FiO2 Set t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: AaDO2 t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 251.5 n1: 251.5 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: PAO2 t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 316.5 n1: 316.5 u1: mmHg st: NotStopd
id: Service Type t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: BSA t0: [22:58:00 09/02/2020] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [22:58:00 09/02/2020] el: 1032 cg: -1 cu: CSRU v1: 120 n1: 120 u1: kg id: Allergy 1 t0: [22:58:00 09/02/2020] el: 1020 cg: -1 cu: CSRU v1: Haldol (Oral) (Haloperidol Lactate) id: Diagnosis/op t0: [22:58:00 09/02/2020] el: 1023 cg: -1 cu: CSRU v1: UROSEPSIS id: Service t0: [22:58:00 09/02/2020] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [22:58:00 09/02/2020] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [22:58:00 09/02/2020] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [22:58:00 09/02/2020] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [22:58:00 09/02/2020] el: 1000 cg: -1 cu: CSRU v1: RCA id: Allergy 2 t0: [22:58:00 09/02/2020] el: 1021 cg: -1 cu: CSRU v1: Perphenazine id: Ext t0: [22:58:00 09/02/2020] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [22:58:00 09/02/2020] el: 1022 cg: -1 cu: CSRU
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CSRU am: 50 du: mghr rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: IV #1 D/C Date t0: [23:00:00 09/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [23:00:00 09/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Position Change t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Behavior t0: [21:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Behavior t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [22:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 cg: RN cu: CSRU ra: 7.5 ru: ml/hr io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 1 cg: RN cu: CSRU ra: 4 ru: ml/hr
id: .9% Normal Saline 500.0ml t0: [23:00:00 09/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Urine Out Foley t0: [23:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 360 vu: ml
pi: 4495829 hi: 10131 t0: [00:00:00 10/02/2020] tf: [00:00:00 10/02/2020] mn: Fentanyl Citrate pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4495830 hi: 10131 t0: [00:00:00 10/02/2020] tf: [00:00:00 10/02/2020] mn: Midazolam HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: IV Infusion In Total t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: 62.5 cv: 4806.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: 62.5 cv: 4806.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: 360 cv: 360 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: 360 cv: 2685 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: -297.5 cv: 2121.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: -297.5 cv: 2121.25 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: -297.5 cv: -297.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/02/2020] el: 3 cg: RN cu: CSRU pv: 360 cv: 2685 ac: 24 ap: none re: 0
id: Ectopy Type t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 114 n2: 114 u2: mmHg st: NotStopd id: NBP t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: NBP Mean t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Respiratory Rate t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Significant Events t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Intubated st: NotStopd id: SpO2 t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:05:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:10:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [23:05:00 09/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 1000 vu: ml
id: Compliance (40-60ml) t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: . st: NotStopd id: Resp Rate (Spont) t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU u1: cmH2O st: NotStopd id: SpO2 t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 574 n1: 574 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:20:00 09/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [23:30:00 09/02/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Ectopy Frequency t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 223 n1: 223 u1: mmHg v2: 108 n2: 108 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 249 n1: 249 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: NBP Mean t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg st: NotStopd id: Pain Location t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:15:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [23:30:00 09/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 31.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:30:00 09/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:30:00 09/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:15:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:30:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:15:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:30:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV #1 Insert Date t0: [23:46:00 09/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [23:46:00 09/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Diet Type t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GU Cath Insert Date t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 221 n1: 221 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 186 n1: 186 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg st: NotStopd id: NBP Mean t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Oral Cavity t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [23:40:00 09/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [23:40:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [23:45:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Fentanyl t0: [23:40:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:45:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:40:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:45:00 09/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4495888 hi: 10131 t0: [01:00:00 10/02/2020] tf: [15:00:00 12/02/2020] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4495889 hi: 10131 t0: [01:00:00 10/02/2020] tf: [15:00:00 12/02/2020] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Line Placement st: NotStopd id: Radiologic Study t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [00:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 31.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 9.16667 vu: ml id: Urine Out Foley t0: [00:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.83333 vu: ml
id: Fentanyl t0: [00:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 8.97 n1: 8.97 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 525 n1: 525 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Lactic Acid t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [01:14:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 29.5238 n1: 29.5238 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: . st: NotStopd id: Resp Rate (Spont) t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: SpO2 t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:37:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [01:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: .9% Normal Saline 500.0ml t0: [02:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [01:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Position Change t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Less Restrict Meas. t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: bedbath t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done id: Diet Type t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [03:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: INV#1 Cap Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Temperature F t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [23:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 500.0ml t0: [03:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [03:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [03:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [03:29:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:29:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:29:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:29:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:29:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 171 n1: 171 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:29:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 rs: Final st: NotStopd id: WBC t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 rs: Final st: NotStopd id: Hematocrit t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 33.8 n1: 33.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 175 n1: 175 rs: Final st: NotStopd id: RBC t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.86 n1: 3.86 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 rs: Final st: NotStopd
id: PT t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: INR t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29.1 n1: 29.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29.1 n1: 29.1 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 10/02/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 500.0ml t0: [04:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Urine Out Foley t0: [04:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: BUN t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:28:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: . st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 599 n1: 599 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: FiO2 Set t0: [05:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
id: Service Type t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:30:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [05:30:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 93.75 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:30:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: Urine Out Foley t0: [05:30:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:30:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.75 vu: ml
id: Fentanyl t0: [05:30:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Position Change t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Alarms t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd
id: Service Type t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [05:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml
id: Fentanyl t0: [05:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: HOB t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Less Restrict Meas. t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 10/02/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.75 vu: ml id: Urine Out Foley t0: [07:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [07:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Position Change t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [18:00:00 09/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Oral Care t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Significant Events t0: [07:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 10/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 500 vu: ml
id: RSBI Not Completed t0: [07:40:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: No Spon Resp st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: Diet Type t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Poor st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [08:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4496521 hi: 10131 t0: [10:00:00 10/02/2020] tf: [17:00:00 14/02/2020] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [10:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Position Change t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [10:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Compliance (40-60ml) t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 32.6316 n1: 32.6316 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 598 n1: 598 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [09:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [11:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 10/02/2020] el: 1 cg: RN cu: CSRU 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 10/02/2020] el: 3 cg: RN cu: CSRU pv: 76 cv: 3178.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 86 cv: 3198.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 80 cv: 1156 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 6 cv: 2042.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 6 cv: 4163.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 6 cv: 6 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 80 cv: 1156 ac: 24 ap: none re: 0
id: Art.pH t0: [11:10:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:10:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:10:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:10:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:10:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 161 n1: 161 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:10:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Mixed Venous O2 t0: [11:11:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 rs: Final st: NotStopd id: Mixed Venous O2% Sat t0: [11:11:00 10/02/2020] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 32.6316 n1: 32.6316 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 592 n1: 592 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Inspired Gas Temp t0: [12:00:00 10/02/2020] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLL Lung Sounds t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [12:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [13:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [12:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4497532 hi: 10131 t0: [15:00:00 10/02/2020] tf: [19:00:00 11/02/2020] mn: Olanzapine pt: Unit Dose st: Discontinued rt: IM fr: BID:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [14:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 29.5238 n1: 29.5238 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:54:00 10/02/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: bedbath t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: done id: Daily Wake Up t0: [16:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Position Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GU Cath Insert Date t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 98.89 n1: 98.89 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [15:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Procedures t0: [16:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Service Type t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 10/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [18:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [17:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 23cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 10/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Position t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [20:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Compliance (40-60ml) t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 28.1818 n1: 28.1818 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 2800 n1: 2800 st: NotStopd id: Ve High t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 607 n1: 607 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:25:00 10/02/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 10/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 500.0ml t0: [21:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [21:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [21:00:00 10/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml
pi: 4499212 hi: 10131 t0: [10:00:00 10/02/2020] tf: [23:00:00 17/02/2020] mn: FoLIC Acid pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4499213 hi: 10131 t0: [10:00:00 10/02/2020] tf: [23:00:00 17/02/2020] mn: Thiamine HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [22:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Impact w/fiber t0: [22:00:00 10/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [22:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [23:00:00 10/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 10/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [23:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 10/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Pain Assess Method t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 11/02/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 11/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [20:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 10/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 500.0ml t0: [00:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Impact w/fiber t0: [00:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [23:00:00 10/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [00:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 10/02/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 20 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 28.1818 n1: 28.1818 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:32:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: calprevflg t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 500.0ml t0: [01:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Impact w/fiber t0: [01:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.5 vu: ml
id: Fentanyl t0: [01:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: calprevflg t0: [02:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [01:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 500.0ml t0: [02:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Impact w/fiber t0: [02:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml
id: Fentanyl t0: [02:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [03:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Impact w/fiber t0: [03:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml
id: Fentanyl t0: [03:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 11/02/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Oral Cavity t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 11/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Skin Integrity t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 500.0ml t0: [04:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml
id: Fentanyl t0: [04:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: WBC t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Hematocrit t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.2 n1: 11.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 170 n1: 170 rs: Final st: NotStopd id: RBC t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.72 n1: 3.72 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 34.4444 n1: 34.4444 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 595 n1: 595 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:23:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Education Topic #1 t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: GCS Total t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Motor Response t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Side Rails t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Therapeutic Bed t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Verbal Response t0: [04:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: BUN t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: Calcium t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Magnesium t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
id: Impact w/fiber t0: [04:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: PTT t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29.1 n1: 29.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29.1 n1: 29.1 rs: Final st: NotStopd
id: PT t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: INR t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:50:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd
pi: 4500019 hi: 10131 t0: [07:00:00 11/02/2020] tf: [15:00:00 12/02/2020] mn: Diazepam pt: Unit Dose st: Discontinued rt: IV fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 500.0ml t0: [05:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 62.5 vu: ml id: Impact w/fiber t0: [05:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml id: Impact w/fiber t0: [06:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [06:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml
id: Fentanyl t0: [05:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Position Change t0: [06:00:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 500.0ml t0: [06:00:00 11/02/2020] el: 1 ai: 304 cg: RN cu: CSRU vu: ml st: Stopped id: Impact w/fiber t0: [07:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [07:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 4.5 vu: ml
id: ICP Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: PAP Alarm (Lo/Hi) t0: [07:00:00 11/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: D5W 100.0ml t0: [07:00:00 11/02/2020] el: 1 ai: 105 cg: -1 cu: CSRU vo: 0 st: D/C'd id: D5W 100.0ml t0: [07:00:00 11/02/2020] el: 3 ai: 117 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Fentanyl t0: [07:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 11/02/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 11/02/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 11/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [08:00:00 11/02/2020] el: 1 ai: 128 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [08:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [08:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2.7 n1: 2.7 st: NotStopd id: Airway Size t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2900 n1: 2900 st: NotStopd id: Tank B psi. t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 628 n1: 628 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [09:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [09:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [09:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [10:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [10:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [10:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4500641 hi: 10131 t0: [11:00:00 11/02/2020] tf: [10:00:00 12/02/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: IV #2 Insert Date t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Therapeutic Bed t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:30:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:30:00 11/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [11:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [11:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [11:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Position Change t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Pt./Family Informed t0: [10:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Motor Response t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [12:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [12:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 32.6316 n1: 32.6316 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2.7 n1: 2.7 st: NotStopd id: Airway Size t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [13:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [13:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [14:05:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:05:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:05:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:05:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:05:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:05:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: Vd/Vt Ratio (40-60%) t0: [14:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: decFrc st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Reason For Restraint t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Po Intake t0: [14:00:00 11/02/2020] el: 1 ai: 103 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 100.0ml t0: [14:00:00 11/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [14:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Impact w/fiber t0: [15:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [15:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [14:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [16:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [16:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [17:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [17:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [17:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 29.5238 n1: 29.5238 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2.7 n1: 2.7 st: NotStopd id: Airway Size t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 625 n1: 625 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 11/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [18:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [18:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4502573 hi: 10131 t0: [20:00:00 11/02/2020] tf: [19:00:00 11/02/2020] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID:PRN di: Ongoing xv: 36 xu: Hours pi: 4502618 hi: 10131 t0: [20:00:00 11/02/2020] tf: [23:00:00 17/02/2020] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 26.9565 n1: 26.9565 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 605 n1: 605 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 11/02/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [19:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [19:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [20:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [20:00:00 11/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml
id: Less Restrict Meas. t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Pupil Response R/L t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: INV#1 Cap Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Po Intake t0: [20:00:00 11/02/2020] el: 1 ai: 103 cg: RN cu: CSRU vo: 60 vu: ml id: TF Residual t0: [20:00:00 11/02/2020] el: 1 ai: 128 cg: RN cu: CSRU vo: 120 vu: ml id: Impact w/fiber t0: [20:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml st: Stopped
id: PO/Gastric In Total t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU cv: 90 ac: 24 ap: none re: 0
id: Sed Rate t0: [13:46:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [21:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [21:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Calcium t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:19:00 11/02/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: calprevflg t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [22:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [22:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Eye Care t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Urine Out Foley t0: [22:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [23:00:00 11/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 11/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [23:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 11/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 31 cv: 1950 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 81 cv: 2810 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 770 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 1510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 36 cv: 1300 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 36 cv: 5463.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 36 cv: 36 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/02/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 1510 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Pain Type t0: [22:00:00 11/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [00:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [00:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 26.9565 n1: 26.9565 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 624 n1: 624 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: HOB t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [01:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Braden Activity t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [01:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: Impact w/fiber t0: [02:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [02:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [01:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [03:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [03:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [03:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [04:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [04:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 28.1818 n1: 28.1818 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 45.9459 n1: 45.9459 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 45.9459 n1: 45.9459 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 0.37 n1: 0.37 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 615 n1: 615 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 12/02/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: WBC t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Hematocrit t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 32.5 n1: 32.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: RBC t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.69 n1: 3.69 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd
id: BUN t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [05:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [05:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Pupil Response R/L t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [02:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: PT t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd id: INR t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 28.7 n1: 28.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd id: PTT(22-35) t0: [04:00:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 28.7 n1: 28.7 rs: Final st: NotStopd
id: Urine Out Foley t0: [05:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Less Restrict Meas. t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Position t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [06:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [06:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [06:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [07:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [06:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [07:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [07:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [07:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [07:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Gag Reflex t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Braden Activity t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 12/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [08:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [08:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 34.4444 n1: 34.4444 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 1:2.7 st: NotStopd id: Airway Size t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 4504312 hi: 10131 t0: [20:00:00 12/02/2020] tf: [10:00:00 12/02/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: 525 n1: 525 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 12/02/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: BSA t0: [09:51:00 12/02/2020] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [09:51:00 12/02/2020] el: 1032 cg: -1 cu: CSRU v1: 120 n1: 120 u1: kg id: Allergy 1 t0: [09:51:00 12/02/2020] el: 1020 cg: -1 cu: CSRU v1: Haldol (Oral) (Haloperidol Lactate) id: Diagnosis/op t0: [09:51:00 12/02/2020] el: 1023 cg: -1 cu: CSRU v1: UROSEPSIS id: Service t0: [09:51:00 12/02/2020] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [09:51:00 12/02/2020] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [09:51:00 12/02/2020] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [09:51:00 12/02/2020] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [09:51:00 12/02/2020] el: 1000 cg: -1 cu: CSRU v1: RCA id: Allergy 2 t0: [09:51:00 12/02/2020] el: 1021 cg: -1 cu: CSRU v1: Perphenazine id: Ext t0: [09:51:00 12/02/2020] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [09:51:00 12/02/2020] el: 1022 cg: -1 cu: CSRU
id: Less Restrict Meas. t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Service Type t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Level of Conscious t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Arterial BP t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Respiratory Pattern t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: INV#1 Cap Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Urine Source t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [09:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Impact w/fiber t0: [09:00:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [10:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 310 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [09:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4504551 hi: 10131 t0: [11:00:00 12/02/2020] tf: [14:00:00 12/02/2020] mn: HydrALAzine pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [10:45:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:45:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:45:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:45:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:45:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:45:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 12/02/2020] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 12/02/2020] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GU Cath Insert Date t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Level of Conscious t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 197 n1: 197 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Significant Events t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Self Extubation st: NotStopd id: SpO2 t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [10:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:20:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:20:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 13.3333 vu: ml id: Impact w/fiber t0: [10:20:00 12/02/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 66.6667 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:20:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml st: Stopped id: Urine Out Foley t0: [12:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:20:00 12/02/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 8 vu: ml st: Stopped
id: Fentanyl t0: [10:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:20:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:20:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 878 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 1444.67 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU cv: 566.667 ac: 24 ap: none re: 0
id: Art.pH t0: [12:30:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:30:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:30:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:30:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:30:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:30:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Urine Out Foley t0: [13:00:00 12/02/2020] el: 1 cg: CoWker cu: CSRU vo: 500 vu: ml
id: Service Type t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 189 n1: 189 u1: mmHg v2: 113 n2: 113 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 36.6667 vu: ml
pi: 4505293 hi: 10131 t0: [15:00:00 12/02/2020] tf: [15:00:00 12/02/2020] mn: HydrALAzine pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 480 vu: ml
id: IV #1 Reason DC'D t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Reason DC'D t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Intub Site t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 D/C Date t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [15:00:00 12/02/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4505398 hi: 10131 t0: [16:00:00 12/02/2020] tf: [15:00:00 13/02/2020] mn: HydrALAzine pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4505403 hi: 10131 t0: [16:00:00 12/02/2020] tf: [00:00:00 14/02/2020] mn: HydrALAzine pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4505474 hi: 10131 t0: [16:00:00 12/02/2020] tf: [23:00:00 17/02/2020] mn: Lorazepam pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Procedures st: NotStopd id: Education Topic #2 t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Care t0: [08:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Assistance Device t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 41 n1: 41 u1: BPM st: NotStopd id: Restraint Location t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [11:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [13:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Source t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Back Care t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Art.pH t0: [15:44:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:44:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:44:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:44:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:44:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:44:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: Service Type t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Ectopy Frequency t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Arterial BP t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Assistance Device t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [16:15:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd