This log is also available as text (240bc.txt) and as a (binary) annotation file (240bc.log).
Generated: Thursday, 23-Apr-2009 00:36:16 EDT
(All dates below are surrogates.)
id: Pain Present t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [16:00:00 12/02/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: Eye Opening t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GI Intub #1/Site t0: [14:00:00 12/02/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: GU Cath Insert Date t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 201 n1: 201 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Bowel Sounds t0: [16:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
pi: 4506202 hi: 10131 t0: [20:00:00 12/02/2020] 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 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Less Restrict Meas. t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Procedures st: NotStopd id: Education Topic #2 t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 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: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 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: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 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: [19:00:00 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: [20:00:00 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: [19:00:00 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: [20:00:00 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: [19:00:00 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: [20:00:00 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: [19:00:00 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: [20:00:00 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: [19:00:00 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: [20:00:00 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: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#1 Cap Change t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 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: [20:00:00 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: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 12/02/2020] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Art.pH t0: [20:31:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:31:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:31:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:31:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:31:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:31:00 12/02/2020] el: 0 cg: 3161 cu: CSRU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 12/02/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: Service Type t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: HOB t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 179 n1: 179 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Assistance Device t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Skin Care t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml
id: Less Restrict Meas. t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 13/02/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Procedures st: NotStopd id: Education Topic #1 t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Procedures st: NotStopd id: Education Topic #2 t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GU Cath Insert Date t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: GU Catheter Size t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 179 n1: 179 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 13/02/2020] 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 13/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 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: [00:00:00 13/02/2020] 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: [23:00:00 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: [23:00:00 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 13/02/2020] 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: [23:00:00 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 13/02/2020] 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: [23:00:00 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 13/02/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 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 13/02/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 7 n2: 7 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 13/02/2020] 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 13/02/2020] 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 13/02/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 v2: 5 n2: 5 st: NotStopd id: Temp. Site t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 12/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 12/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/02/2020] 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: [01:00:00 13/02/2020] 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 13/02/2020] 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 13/02/2020] 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 13/02/2020] 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 13/02/2020] 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 13/02/2020] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Skin Care t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Back Care t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 13/02/2020] el: 1 cg: RN cu: CSRU vo: 650 vu: ml id: Urine Out Foley t0: [23:00:00 12/02/2020] el: 1 cg: RN cu: CSRU vo: 800 vu: ml
id: Total Hourly Output t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: 800 cv: 800 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: 800 cv: 4590 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: -790 cv: -3145.33 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: -790 cv: 2318.17 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: -790 cv: -790 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/02/2020] el: 3 cg: RN cu: CSRU pv: 800 cv: 4590 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/02/2020] 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: [02:00:00 13/02/2020] 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: [02:00:00 13/02/2020] 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 13/02/2020] 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 13/02/2020] 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 13/02/2020] 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 13/02/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 13/02/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/02/2020] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 13/02/2020] el: 1 cg: RN cu: CSRU vo: 400 vu: ml