This log is also available as text (215ac.txt) and as a (binary) annotation file (215ac.log).
Generated: Thursday, 23-Apr-2009 00:35:21 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 04/06/2017] el: 0 cg: LCP cu: LCP at MIT n1: 11
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 100 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip id: Nitroprusside io: D5W 250.0ml + 50mcgkgmin Nitroprusside el: 100 cg: RN cu: CSRU am: 50 du: mcgkgmin rt: IV Drip
pi: 1282875 hi: 12801 t0: [10:00:00 04/06/2017] tf: [13:00:00 26/06/2017] mn: Prednisone pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282876 hi: 12801 t0: [10:00:00 04/06/2017] tf: [13:00:00 26/06/2017] mn: Prednisone pt: Unit Dose st: Discontinued rt: PO fr: QD ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282877 hi: 12801 t0: [06:00:00 04/06/2017] tf: [09:00:00 15/06/2017] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QAM ds: 6 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282878 hi: 12801 t0: [22:00:00 04/06/2017] tf: [09:00:00 15/06/2017] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: QPM ds: 18 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 1282879 hi: 12801 t0: [10:00:00 04/06/2017] tf: [05:00:00 04/06/2017] mn: Diltiazem pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 1282880 hi: 12801 t0: [04:00:00 04/06/2017] tf: [05:00:00 04/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: FiO2 Set t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Minute Volume(Obser) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 806 n1: 806 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: I:E Ratio t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1:2 st: NotStopd id: Inspired Gas Temp t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: Deg. C st: NotStopd id: Mean Airway Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: PEEP Set t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [03:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd
id: HI/Minute/Vol t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: High Insp. Pressure t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Apnea Time Interval t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Sputum Color/Consist t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd
id: ETT Mark/Location t0: [03:10:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd
id: Service Type t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 197 n1: 197 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Precautions t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 34.8333 n1: 34.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 94.7 n1: 94.7 u1: Deg. F st: NotStopd id: calprevflg t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley el: 1 t0: [03:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32694
id: Urine Out Foley t0: [03:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: BSA t0: [03:48:00 04/06/2017] el: 1033 cg: -1 cu: CSRU v1: 2.45464 n1: 2.45464 u1: m2 id: Admit Wt t0: [03:48:00 04/06/2017] el: 1032 cg: -1 cu: CSRU v1: 115 n1: 115 u1: kg id: Allergy 1 t0: [03:48:00 04/06/2017] el: 1020 cg: -1 cu: CSRU v1: Penicillins id: Diagnosis/op t0: [03:48:00 04/06/2017] el: 1023 cg: -1 cu: CSRU v1: HEAD BLEED id: Service t0: [03:48:00 04/06/2017] el: 1026 cg: -1 cu: CSRU v1: NSU id: Admit Ht t0: [03:48:00 04/06/2017] el: 1034 cg: -1 cu: CSRU v1: 72 n1: 72 u1: inches id: Readmission t0: [03:48:00 04/06/2017] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [03:48:00 04/06/2017] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [03:48:00 04/06/2017] el: 1000 cg: -1 cu: CSRU v1: OTR id: Allergy 2 t0: [03:48:00 04/06/2017] el: 1021 cg: -1 cu: CSRU id: Ext t0: [03:48:00 04/06/2017] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [03:48:00 04/06/2017] el: 1022 cg: -1 cu: CSRU
id: Code Status t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: INV Line#1 Type/Site t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [03:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Precautions t0: [03:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd
id: Propofol el: 1 t0: [03:45:00 04/06/2017] tf: [04:30:00 04/06/2017] cu: CSRU dt: 45 id: Nitroprusside el: 1 t0: [03:45:00 04/06/2017] tf: [19:00:00 04/06/2017] cu: CSRU dt: 915
id: Propofol t0: [03:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [03:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 1282886 hi: 12801 t0: [05:00:00 04/06/2017] tf: [10:00:00 10/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 5, 17 dn: 2 dt: 76 di: Hours xv: 36 xu: Hours
id: Art.pH t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: SaO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Ionized Calcium t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [04:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: Propofol t0: [04:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [04:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Nitroprusside t0: [04:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [04:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: N/A 50.0vl + 500mcgkgmin Propofol el: 1 t0: [04:00:00 04/06/2017] tf: [04:30:00 04/06/2017] cu: CSRU dt: 30 id: D5W 250.0ml + 100mcgkgmin Nitroprusside el: 1 t0: [04:00:00 04/06/2017] tf: [09:00:00 05/06/2017] cu: CSRU dt: 1740
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:15:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:45:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 4.275 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:30:00 04/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 8.55 vu: ml st: Stopped id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [03:15:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [03:45:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [04:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.375 vu: ml
id: Nitroprusside io: D5W 500.0ml + 100mcgkgmin Nitroprusside el: 101 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CSRU ra: 100 ru: ml/hr
pi: 1282925 hi: 12801 t0: [06:00:00 04/06/2017] tf: [05:00:00 05/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 1282929 hi: 12801 t0: [10:00:00 04/06/2017] tf: [10:00:00 20/06/2017] mn: Famotidine pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 1282930 hi: 12801 t0: [06:00:00 04/06/2017] tf: [12:00:00 04/06/2017] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 1282944 hi: 12801 t0: [06:00:00 04/06/2017] tf: [05:00:00 05/06/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 1282945 hi: 12801 t0: [10:00:00 04/06/2017] tf: [06:00:00 04/06/2017] mn: Diltiazem pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: CaO2 t0: [04:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.1687 n1: 16.1687 u1: ml/dl st: NotStopd id: WBC t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: Hematocrit t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 37.4 n1: 37.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 274 n1: 274 rs: Final st: NotStopd id: RBC t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.43 n1: 4.43 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [05:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 57 vu: ml id: Urine Out Foley t0: [05:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Nitroprusside t0: [05:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Level of Conscious t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Neuro Drain Drainage t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Orientation t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Verbal Response t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Service Type t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Health Care Proxy t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Arterial BP t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [05:05:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [05:10:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:23:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: RSBI Not Completed t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: ICP Instability st: NotStopd id: HI/Minute/Vol t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: ETT Mark/Location t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Pressure Support t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:45:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Health Care Proxy t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Arterial BP t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [05:34:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: ICP t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: ICP t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: ICP t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: CPP t0: [05:05:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [05:10:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [05:34:00 04/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
pi: 1282980 hi: 12801 t0: [10:00:00 04/06/2017] tf: [13:00:00 04/06/2017] mn: Diltiazem pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Follows Commands t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Responds to Stimuli t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [05:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Urine Source t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd
id: D5W 100.0ml el: 1 t0: [06:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32514 id: .9% Normal Saline 1000.0ml el: 1 t0: [06:00:00 04/06/2017] tf: [08:00:00 07/06/2017] cu: CSRU dt: 4440 id: Cerebral Drain L Ventricular Drain el: 1 t0: [06:00:00 04/06/2017] tf: [06:00:00 13/06/2017] cu: CSRU dt: 12960
id: D5W 100.0ml t0: [06:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [06:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 76.2375 vu: ml id: Urine Out Foley t0: [06:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Cerebral Drain L Ventricular Drain t0: [06:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Nitroprusside t0: [06:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Meds el: 1 t0: [06:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32514
id: Gastric Meds t0: [06:00:00 04/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 180 vu: ml
id: Less Restrict Meas. t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd
id: Nitroprusside io: D5W 250.0ml + 100mcgkgmin Nitroprusside el: 102 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroprusside el: 1 cg: RN cu: CSRU ra: 42.75 ru: ml/hr
id: Art.pH t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2307 n1: 16.2307 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [07:09:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd
id: Nitroprusside t0: [07:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [08:00:00 04/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [08:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 128.25 vu: ml id: Urine Out Foley t0: [08:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [08:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 19 vu: ml
id: Nitroprusside t0: [08:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LL Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [08:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [09:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [09:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Nitroprusside t0: [09:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HI/Minute/Vol t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: ETT Mark/Location t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Pressure Support t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 478 n1: 478 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Riker-SAS Scale t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Diet Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [10:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [10:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 38 vu: ml
id: Nitroprusside t0: [10:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: CaO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2183 n1: 16.2183 u1: ml/dl st: NotStopd id: Lactic Acid t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Ionized Calcium t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: SaO2 t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd id: Sodium (135-148) t0: [10:31:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: HI/Minute/Vol t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 id: ETT Mark/Location t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Plateau-Off t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Pressure Support t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Activity t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [11:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [11:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 39 vu: ml id: Cerebral Drain L Ventricular Drain t0: [10:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: Nitroprusside t0: [11:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: PEEP Set t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: SpO2 t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Ventilator Type t0: [11:40:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 1283576 hi: 12801 t0: [13:00:00 04/06/2017] tf: [12:00:00 05/06/2017] mn: Phenytoin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 1283577 hi: 12801 t0: [13:00:00 04/06/2017] tf: [13:00:00 04/06/2017] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Mouthing Words st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [10:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [12:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [12:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [12:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: Nitroprusside t0: [12:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7979 n1: 15.7979 u1: ml/dl st: NotStopd id: Arterial PaO2 t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Arterial Base Excess t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:25:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI Not Completed t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Insp. Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Resp. Rate t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: I:E Ratio t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inspired Gas Temp t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Low Exhaled Min Vol t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Mean Airway Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Minute Volume(Obser) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: PEEP Set t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Apnea Time Interval t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Peak Insp. Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau Pressure t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau-Off t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pressure Support t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Spont) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Total) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Respiratory Rate Set t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sensitivity-Vent t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Obser) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Set) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Spont) t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Mode t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Waveform-Vent t0: [13:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 1283634 hi: 12801 t0: [14:00:00 04/06/2017] tf: [23:00:00 09/06/2017] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: CaO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.9911 n1: 15.9911 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [13:02:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [13:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nodding st: NotStopd id: Diet Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Eye Opening t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: ICP t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Activity t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Spontaneous Movement t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: CPP t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [13:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 42.75 vu: ml id: Urine Out Foley t0: [13:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: ETT Mark/Location t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: SpO2 t0: [13:30:00 04/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Labetolol io: .9% Normal Saline 100.0ml + 100mgmin Labetolol el: 100 cg: RN cu: CSRU am: 100 du: mgmin rt: IV Drip
io: .9% Normal Saline 100.0ml + 100mgmin Labetolol el: 1 cg: RN cu: CSRU ru: ml/hr
pi: 1283724 hi: 12801 t0: [15:00:00 04/06/2017] tf: [09:00:00 05/06/2017] mn: Labetalol HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Diet Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: ICP t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 179 n1: 179 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Responds to Stimuli t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: CPP t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [14:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 44.175 vu: ml id: Urine Out Foley t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Nitroprusside t0: [13:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [14:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Service Type t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: LU Strength/Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [13:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [14:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [15:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 54.8625 vu: ml id: Urine Out Foley t0: [15:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Labetolol el: 1 t0: [14:00:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 32034
id: Labetolol t0: [14:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroprusside t0: [14:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [14:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [15:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: HOB t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [15:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: CPP t0: [16:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [16:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 54.9 vu: ml id: Urine Out Foley t0: [16:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [16:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Nitroprusside t0: [15:15:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [16:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2586 n1: 16.2586 u1: ml/dl st: NotStopd id: Glucose t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: Sodium t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: SaO2 t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd id: Sodium (135-148) t0: [16:47:00 04/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: LU Strength/Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bloody st: NotStopd id: Neuro Drain Lev/Loc t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Responds to Stimuli t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [17:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml id: Urine Out Foley t0: [17:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 43 vu: ml
id: Nitroprusside t0: [17:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Incr Visibility st: NotStopd id: Pain Present t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Diet Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Airway Size t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Incision/Wound #1 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LLL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Orientation t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: CPP t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [18:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml id: Urine Out Foley t0: [18:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: Nitroprusside t0: [18:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: GI#1 Intub Site t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd
id: Gastric Meds t0: [18:00:00 04/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 160 vu: ml
id: Labetolol io: .9% Normal Saline 200.0ml + 200mgmin Labetolol el: 102 cg: RN cu: CSRU am: 200 du: mgmin rt: IV Drip
id: ETT Mark/Location t0: [19:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [19:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [19:00:00 04/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
io: .9% Normal Saline 200.0ml + 200mgmin Labetolol el: 1 cg: RN cu: CSRU ra: 30 ru: ml/hr
id: D5W 100.0ml t0: [19:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [19:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml
id: Service Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd
id: INV Line#1 Type/Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Range of Motion t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Behavior t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [20:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 59.85 vu: ml id: Urine Out Foley t0: [20:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: FiO2 Set t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Intubation Date t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: SpO2 t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd
id: Communication t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LLL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
pi: 1284393 hi: 12801 t0: [21:00:00 04/06/2017] tf: [21:00:00 05/06/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: PRN dt: 24 di: Hours xv: 36 xu: Hours pi: 1284394 hi: 12801 t0: [21:00:00 04/06/2017] tf: [21:00:00 05/06/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: PRN dt: 24 di: Hours xv: 36 xu: Hours pi: 1284395 hi: 12801 t0: [21:00:00 04/06/2017] tf: [10:00:00 07/06/2017] mn: Phenytoin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 6, 14, 22 dn: 3 di: Ongoing xu: Enter on Label
id: Labetolol t0: [19:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Nitroprusside t0: [19:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Labetolol t0: [20:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Communication t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pupil Response R/L t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 200.0ml + 200mgmin Labetolol el: 1 t0: [20:00:00 04/06/2017] tf: [20:21:00 04/06/2017] cu: CSRU dt: 21
id: .9% Normal Saline 200.0ml + 200mgmin Labetolol t0: [20:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: .9% Normal Saline 200.0ml + 200mgmin Labetolol t0: [20:21:00 04/06/2017] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 182 n1: 182 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:15:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: CPP t0: [20:20:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd
id: Labetolol t0: [20:15:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Labetolol t0: [20:20:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: mgmin so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:25:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: CPP t0: [20:30:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: Nitroprusside el: 1 t0: [20:25:00 04/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 31649
id: Nitroprusside t0: [20:25:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.49123 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [20:30:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.49123 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:45:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: Nitroprusside t0: [20:45:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd
id: Nitroprusside t0: [21:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LLL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [21:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 60.5208 vu: ml id: Urine Out Foley t0: [21:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: HOB t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Range of Motion t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Closure/Appear#1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [22:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.875 vu: ml id: Urine Out Foley t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Communication t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pupil Response R/L t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Gastric Nasogastric el: 1 t0: [22:00:00 04/06/2017] tf: [04:00:00 11/06/2017] cu: CSRU dt: 9000
id: Gastric Nasogastric t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 800 vu: ml
id: Cerebral Drain L Ventricular Drain t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: CPP t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: Nitroprusside t0: [22:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [23:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Intubation Date t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd
id: Communication t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pupil Response R/L t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 04/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [23:00:00 04/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.875 vu: ml id: Urine Out Foley t0: [23:00:00 04/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: Nitroprusside t0: [00:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Range of Motion t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Behavior t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd
id: Communication t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pupil Response R/L t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [00:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 57 vu: ml id: Urine Out Foley t0: [00:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Urine Out Foley t0: [01:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [01:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Arterial BP t0: [01:00:00 05/06/2017] 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: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd
id: Nitroprusside t0: [01:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Service Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: Nitroprusside t0: [02:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Dsg/Status #1 t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Intubation Date t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Position Change t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [01:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 64.125 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [02:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 64.125 vu: ml id: Urine Out Foley t0: [02:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Communication t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Service Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd
id: Nitroprusside t0: [03:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 4.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [03:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 68.4 vu: ml id: Urine Out Foley t0: [03:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [03:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Cerebral Drain Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: 275 ac: 24 ap: none re: 0
id: Glucose t0: [03:00:00 05/06/2017] el: 0 cg: NA cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd id: Glucose (70-105) t0: [03:00:00 05/06/2017] el: 0 cg: NA cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Art.pH t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Ionized Calcium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: WBC t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: Hematocrit t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 220 n1: 220 rs: Final st: NotStopd id: RBC t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.27 n1: 4.27 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.7 n1: 17.7 rs: Final st: NotStopd
id: PT t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: INR t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: PTT(22-35) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Arterial BP t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: Nitroprusside t0: [04:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: BUN t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Phosphorous t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Intubation Date t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: ALT t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: BUN (6-20) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:36:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [04:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 68.4 vu: ml id: Urine Out Foley t0: [04:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 3807.05 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 140 cv: 4752.05 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 155 cv: 155 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 120 cv: 2218 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: -15 cv: 2009.05 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: -15 cv: 3855.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: -15 cv: -15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU pv: 155 cv: 2743 ac: 24 ap: none re: 0
id: Range of Motion t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: Communication t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
pi: 1284929 hi: 12801 t0: [06:00:00 05/06/2017] tf: [05:00:00 05/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 1284930 hi: 12801 t0: [06:00:00 05/06/2017] tf: [15:00:00 07/07/2017] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 1284947 hi: 12801 t0: [06:00:00 05/06/2017] tf: [09:00:00 05/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO dn: 1 di: Ongoing xu: Enter on Label pi: 1284948 hi: 12801 t0: [06:00:00 05/06/2017] tf: [10:00:00 05/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO dn: 1 di: Ongoing xu: Enter on Label
id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [05:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: Urine Out Foley t0: [05:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Cerebral Drain L Ventricular Drain t0: [05:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: Nitroprusside t0: [05:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Service Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd
id: Nitroprusside t0: [06:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Inc Dsg/Status #1 t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Position Change t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Behavior t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [06:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: Urine Out Foley t0: [06:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: HOB t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Communication t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GCS Total t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LLL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RL Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [05:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd
id: Nicardipine io: .9% Normal Saline 250.0ml + 25mcgkgmin Nicardipine el: 100 cg: RN cu: CSRU am: 25 du: mcgkgmin rt: IV Drip
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 05/06/2017] el: 1 ai: 110 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Communication t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GI Intub #1/Site t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: LL Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: D5W 100.0ml t0: [06:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: D5W 100.0ml t0: [05:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [22:00:00 04/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Gastric Nasogastric t0: [06:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: Nitroprusside t0: [07:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Pain Level t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Inc Dsg/Status #1 t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LLL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: O2 Delivery Device t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Level (Rest) t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Headache st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Behavior t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: CPP t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [07:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [08:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 71.25 vu: ml id: Urine Out Foley t0: [07:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: D5W 250.0ml + 100mcgkgmin Nitroprusside t0: [09:00:00 05/06/2017] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 1285148 hi: 12801 t0: [10:00:00 05/06/2017] tf: [09:00:00 05/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 1285177 hi: 12801 t0: [10:00:00 05/06/2017] tf: [09:00:00 05/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H ds: 2, 6, 10, 14, 18, 22 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 1285202 hi: 12801 t0: [10:00:00 05/06/2017] tf: [22:00:00 05/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 1285204 hi: 12801 t0: [10:00:00 05/06/2017] tf: [22:00:00 06/06/2017] mn: Labetalol HCl pt: Unit Dose st: Discontinued rt: IV fr: Q4H ds: 2, 6, 10, 14, 18, 22 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Circulation/SkinInt t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [07:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Assistance Device t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Nitroprusside t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Type t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: ICP t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: ICP t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 id: NICARDIPINE--MG/HR t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 id: NICARDIPINE--MG/HR t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 id: NICARDIPINE--MG/HR t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 id: NICARDIPINE--MG/HR t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 id: Arterial BP t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: CPP t0: [07:55:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: CPP t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: CPP t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: Nicardipine el: 1 t0: [08:00:00 05/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 30954
id: Nicardipine t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [07:45:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [07:55:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [08:25:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: NICARDIPINE el: 1 t0: [08:00:00 05/06/2017] tf: [01:00:00 07/06/2017] cu: CSRU dt: 2460
id: NICARDIPINE t0: [08:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 170 vu: ml id: NICARDIPINE t0: [09:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Range of Motion t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Inc Drainage/Amt #1 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position Change t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Braden Activity t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Pupil Response R/L t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd
pi: 1285359 hi: 12801 t0: [11:00:00 05/06/2017] tf: [00:00:00 06/06/2017] mn: Nimodipine pt: Unit Dose st: Discontinued rt: PO fr: Q4H ds: 11, 15, 19, 23, 3, 7 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 1285360 hi: 12801 t0: [11:00:00 05/06/2017] tf: [15:00:00 07/07/2017] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: Q12H ds: 11, 23 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Vancomycin/Trough t0: [06:00:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 id: NICARDIPINE--MG/HR t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 id: NICARDIPINE--MG/HR t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 id: NICARDIPINE--MG/HR t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Arterial BP t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: KCL io: .9% Normal Saline 1000.0ml el: 200 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Service Type t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Arterial BP t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Communication t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: HOB t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Intubation Date t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Pupil Response R/L t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Responds to Stimuli t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: NICARDIPINE t0: [10:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: NICARDIPINE t0: [11:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [10:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [11:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Cerebral Drain L Ventricular Drain t0: [10:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Intubation Date t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: CPP t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 2 t0: [12:00:00 05/06/2017] tf: [15:00:00 06/06/2017] cu: CSRU dt: 1620
id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [12:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [12:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: ICP t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: ICP t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: NICARDIPINE--MG/HR t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: CPP t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: CPP t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [13:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [13:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [13:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Arterial BP t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Rate t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Pain Present t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Intubation Date t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Responds to Stimuli t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [14:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 43 vu: ml
id: Range of Motion t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Incision/Wound #1 t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Behavior t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: Service Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: ICP t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: CPP t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
id: Service Type t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2.5 n1: 2.5 id: NICARDIPINE--MG/HR t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Arterial BP t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: CPP t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd
id: Pain Present t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Diet Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Drainage/Amt #1 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Turn t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Behavior t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:30:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [15:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: NICARDIPINE t0: [15:30:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: NICARDIPINE t0: [16:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Arterial BP t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [17:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [17:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [17:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: ICP t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3.5 n1: 3.5 id: Arterial BP t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd
id: Service Type t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: NICARDIPINE--MG/HR t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Arterial BP t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Follows Commands t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GCS Total t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Intubation Date t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LU Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Orientation t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Orientation t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Speech t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [18:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Range of Motion t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Activity t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Incision/Wound #1 t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Previous Weight t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [08:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [09:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:15:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:20:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:25:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [10:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [12:50:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [13:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [15:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [17:45:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Radiologic Study t0: [12:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Reason For Restraint t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [08:05:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.60377 n1: 1.60377 u1: m2 st: NotStopd id: BSA - Metric t0: [08:05:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1.86275 n1: 1.86275 u1: m2 st: NotStopd id: Verbal Response t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Daily Weight t0: [08:05:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Behavior t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd
id: D5W 100.0ml t0: [14:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [16:00:00 05/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Nasogastric t0: [18:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Gastric Out Total t0: [23:00:00 05/06/2017] el: 3 cg: RN cu: CSRU cv: 250 ac: 24 ap: none re: 0
id: AntiEmbDevice/Status t0: [08:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd
id: Potassium t0: [18:30:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:30:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: LL Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: NICARDIPINE t0: [19:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [19:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Fingerstick Glucose t0: [18:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:30:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd
id: Service Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Inc Drainage/Amt #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: LL Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: CPP t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Heart Rate t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: NICARDIPINE--MG/HR t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Incision/Wound #1 t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [21:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [21:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
pi: 1287359 hi: 12801 t0: [23:00:00 05/06/2017] tf: [20:00:00 12/06/2017] mn: Nicardipine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: Vancomycin/Random t0: [20:30:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 31.5 n1: 31.5 rs: Final st: NotStopd
id: Range of Motion t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Activity t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Activity Tolerance t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: CPP t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Dilantin t0: [06:00:00 05/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd
id: Communication t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 05/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: Communication t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pupil Response R/L t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: INV Line#1 Type/Site t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd
id: Pain Present t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Intubation Date t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Cerebral Drain L Ventricular Drain t0: [23:00:00 05/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Communication t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Service Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: Range of Motion t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Diet Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Activity t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: NICARDIPINE--MG/HR t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: LL Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 10 cv: 1800 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 80 cv: 2790 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 75 cv: 75 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 40 cv: 2200 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 29 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 3884.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 75 cv: 2761 ac: 24 ap: none re: 0
id: Service Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: WBC (4-11,000) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Code Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: WBC t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Hematocrit t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41.2 n1: 41.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 256 n1: 256 rs: Final st: NotStopd id: RBC t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.94 n1: 4.94 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: CPP t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: BUN t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Total Bili t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: ALT t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: BUN (6-20) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Dilantin t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:54:00 06/06/2017] 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: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd
id: PT t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 rs: Final st: NotStopd id: INR t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.7 n1: 26.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.1 n1: 12.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:54:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 26.7 n1: 26.7 rs: Final st: NotStopd
id: IV #2 Insert Date t0: [05:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [05:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [05:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NBP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Intubation Date t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: O2 Delivery Device t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [02:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Communication t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #2 D/C Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #2 Insert Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #2 Site/Size t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [03:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Pain Present t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 115.8 n1: 115.8 u1: kg st: NotStopd id: Pupil Response R/L t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [06:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Gastric Nasogastric t0: [05:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: NICARDIPINE--MG/HR t0: [04:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [05:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [06:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4
id: Service Type t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NBP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [07:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Pain Present t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Activity Tolerance t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Orientation t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: LU Strength/Movement t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd
pi: 1288167 hi: 12801 t0: [09:00:00 06/06/2017] tf: [08:00:00 07/06/2017] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 1288168 hi: 12801 t0: [10:00:00 06/06/2017] tf: [12:00:00 06/06/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 4, 10, 16, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 1288685 hi: 12801 t0: [13:00:00 06/06/2017] tf: [20:00:00 23/06/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: ASDIR di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: WBC (4-11,000) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: CaO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.4271 n1: 17.4271 u1: ml/dl st: NotStopd id: BUN t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: WBC t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: BUN (6-20) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Hematocrit t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 39.7 n1: 39.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 u1: gm/dl rs: Final st: NotStopd id: Ionized Calcium t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.19 n1: 1.19 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Platelets t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 245 n1: 245 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: RBC t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.77 n1: 4.77 u1: /mic l rs: Final st: NotStopd id: SaO2 t0: [12:14:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd id: Sodium (135-148) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: WBC (4-11,000) t0: [12:00:00 06/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd
id: Extubation Date t0: [15:00:00 06/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Extubation Date t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4/4 st: NotStopd id: Eye Opening t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [12:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [14:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Intubation Date t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: Intubation Date t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Delivery Device t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [09:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [10:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Radiologic Study t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Responds to Stimuli t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [13:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Urine Color/Appear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: NICARDIPINE t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Nasogastric t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 1010 vu: ml id: Urine Out Foley t0: [15:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Gastric Out Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0
id: Range of Motion t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Inc Closure/Appear#1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Reinforced st: NotStopd id: Incision/Wound #1 t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd
id: Cough/Deep Breathe t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: INV Line#1 Type/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd
id: .9% Normal Saline 1000.0ml el: 3 t0: [15:00:00 06/06/2017] tf: [19:00:00 08/06/2017] cu: CSRU dt: 3120
id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Nepro el: 1 t0: [15:00:00 06/06/2017] tf: [12:00:00 08/06/2017] cu: CSRU dt: 2700
id: Nepro t0: [15:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml
id: Previous Weight t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: BSA - English t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.62048 n1: 1.62048 u1: m2 st: NotStopd id: BSA - Metric t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1.88172 n1: 1.88172 u1: m2 st: NotStopd id: Weight Change t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [07:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/06/2017] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: IV #1 Reason DC'D t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clotted off st: NotStopd id: IV #1 D/C Date t0: [08:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd
id: Service Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Intubation Date t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [16:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: NICARDIPINE t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [16:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Range of Motion t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Inc Closure/Appear#1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Drainage/Amt #1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Inc Dsg/Status #1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [17:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: NICARDIPINE t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [17:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: LL Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cough/Deep Breathe t0: [16:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [17:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: HOB t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Therapeutic Bed t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: ICP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CPP t0: [18:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [18:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 58 vu: ml
id: Service Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Alarms t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: ICP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: IV #1 Insert Date t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Intubation Date t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [19:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 10 vu: ml id: NICARDIPINE t0: [19:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [19:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [18:00:00 06/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: INV Line#2 Type/Site t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [20:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 20 vu: ml id: NICARDIPINE t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 18 vu: ml
id: INV Line#1 Zero/Cal t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV Site Appear #1 t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [19:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
pi: 1290344 hi: 12801 t0: [22:00:00 06/06/2017] tf: [06:00:00 07/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 1290345 hi: 12801 t0: [23:00:00 06/06/2017] tf: [06:00:00 07/06/2017] mn: Nimodipine pt: Unit Dose st: Discontinued rt: PO fr: Q4H ds: 23, 3, 7, 11, 15, 19 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest PT R/L t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Chest PT R/L t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Follows Commands t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GCS Total t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LU Strength/Movement t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Transduced st: NotStopd id: Neuro Drain Status t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Oral Care t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Orientation t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Responds to Stimuli t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Skin Care t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Speech t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Therapeutic Bed t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: CPP t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: TF Residual el: 1 t0: [20:00:00 06/06/2017] tf: [09:00:00 07/06/2017] cu: CSRU dt: 780
id: TF Residual t0: [20:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [21:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro t0: [22:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 20 vu: ml id: NICARDIPINE t0: [21:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [22:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [21:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [21:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: LL Strength/Movement t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [23:00:00 06/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 20 vu: ml id: NICARDIPINE t0: [23:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Cerebral Drain L Ventricular Drain t0: [23:00:00 06/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Tube Feeds In Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 20 cv: 130 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 06/06/2017] el: 3 cg: RN cu: CSRU pv: 35 cv: 261 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Chest PT R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: NICARDIPINE--MG/HR t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Activity Tolerance t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Temp. Site t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: CPP t0: [23:15:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: CPP t0: [23:30:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: CPP t0: [23:45:00 06/06/2017] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd
id: TF Residual t0: [00:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [00:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: NICARDIPINE t0: [01:00:00 07/06/2017] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Pain Present t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Responds to Stimuli t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [01:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [00:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [01:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Code Status t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Health Care Proxy t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [00:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd
pi: 1290660 hi: 12801 t0: [03:00:00 07/06/2017] tf: [18:00:00 07/06/2017] mn: Labetalol HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [02:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [02:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: CVP t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NBP Mean t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Previous WeightF t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Respiratory Rate t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:35:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd
id: Ectopy Frequency t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Previous WeightF t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Respiratory Rate t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [02:40:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: CVP t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Responds to Stimuli t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:55:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: CPP t0: [03:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [03:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: IV Infusion In Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 5 cv: 660 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 115 cv: 2110 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 175 cv: 175 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 70 cv: 1220 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 120 cv: 3190 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: -60 cv: -1336 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: -60 cv: 2548.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: -60 cv: -60 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 175 cv: 3446 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Position t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Speech t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd
id: TF Residual t0: [04:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [04:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: WBC (4-11,000) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: WBC t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd id: Hematocrit t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36.9 n1: 36.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 224 n1: 224 rs: Final st: NotStopd id: RBC t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.29 n1: 4.29 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 17.5 n1: 17.5 rs: Final st: NotStopd
id: Pain Present t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: lpm st: NotStopd id: Orientation t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Urine Source t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 64 vu: ml
id: PT t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: INR t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 27.6 n1: 27.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: PTT(22-35) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 27.6 n1: 27.6 rs: Final st: NotStopd
id: BUN t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:20:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
pi: 1290867 hi: 12801 t0: [08:00:00 07/06/2017] tf: [18:00:00 07/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Urine Out Foley t0: [06:00:00 07/06/2017] el: 1 cg: CoWkr cu: CSRU vo: 120 vu: ml
id: Less Restrict Meas. t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Chest PT R/L t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Activity t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Therapeutic Bed t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 07/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [05:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro t0: [06:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: Heart Rate t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Level of Conscious t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Pupil Response R/L t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Rate t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: SpO2 t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Verbal Response t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [07:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Diet Type t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Neuro Drain Drainage t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: RL Strength/Movement t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [07:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/06/2017] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Position t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Temp. Site t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.62728 n1: 1.62728 u1: m2 st: NotStopd id: BSA - Metric t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1.88943 n1: 1.88943 u1: m2 st: NotStopd id: Verbal Response t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Weight Change t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0.9 n1: 0.9 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [08:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: CPP t0: [09:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
id: TF Residual t0: [09:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [09:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Cerebral Drain L Ventricular Drain t0: [09:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 39 vu: ml
pi: 1291406 hi: 12801 t0: [11:00:00 07/06/2017] tf: [10:00:00 08/06/2017] mn: Phenytoin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 1291409 hi: 12801 t0: [14:00:00 07/06/2017] tf: [08:00:00 08/06/2017] mn: Phenytoin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 6, 14, 22 dn: 3 di: Ongoing xu: Enter on Label
id: Fingerstick Glucose t0: [10:00:00 07/06/2017] el: 0 cg: PCT cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Pain Present t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 07/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [09:00:00 07/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [10:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Service Type t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 127 n2: 127 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [11:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Pain Present t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 144 n2: 144 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg st: NotStopd id: Position t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Reason For Restraint t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Temp. Site t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [12:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 34 vu: ml
id: Service Type t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 140 n2: 140 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [13:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [13:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 260 vu: ml
id: Communication t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Eye Opening t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: LL Strength/Movement t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Responds to Stimuli t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Verbal Response t0: [13:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Pain Present t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Incision/Wound #1 t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 137 n2: 137 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [14:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 07/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [14:00:00 07/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [14:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 26 vu: ml
id: PO/Gastric In Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0
id: Service Type t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [15:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [15:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Fingerstick Glucose t0: [15:30:00 07/06/2017] el: 0 cg: PCT cu: CSRU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Range of Motion t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: ICP t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: IV #1 Insert Date t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 4 n1: 4 v2: 3 n2: 3 st: NotStopd id: LL Strength/Movement t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 182 n1: 182 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Position t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:00:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: CPP t0: [16:30:00 07/06/2017] el: 0 cg: RNC cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 07/06/2017] el: 1 ai: 105 cg: RNC cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/06/2017] el: 3 ai: 107 cg: RNC cu: CSRU vo: 5 vu: ml id: Nepro t0: [16:00:00 07/06/2017] el: 1 ai: 304 cg: RNC cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 07/06/2017] el: 1 cg: RNC cu: CSRU vo: 160 vu: ml
id: Service Type t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: GI Intub #1/Site t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Level of Conscious t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: NBP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Cavity t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 178 n1: 178 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Pattern t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: CPP t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro t0: [18:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [18:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 38 vu: ml
pi: 1292872 hi: 12801 t0: [22:00:00 07/06/2017] tf: [20:00:00 07/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 1292995 hi: 12801 t0: [19:00:00 07/06/2017] tf: [18:00:00 08/06/2017] mn: Labetalol HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Communication t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Eye Opening t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: LL Strength/Movement t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Motor Response t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Neuro Symptoms t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pupil Response R/L t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Responds to Stimuli t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Speech t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Verbal Response t0: [18:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Aggitation t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Mod anxiety st: NotStopd id: Ataxia t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: sum st: NotStopd id: Drowsiness t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ? date < 2 days st: NotStopd id: Paroxysmal Sweats t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Seizure t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Sustained Nystamus t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Visual Disturbances t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GCS Total t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: ICP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Level of Conscious t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 196 n1: 196 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 120.667 n1: 120.667 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 129.333 n1: 129.333 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 179 n1: 179 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: Pain Location t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Position t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RL Strength/Movement t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Responds to Stimuli t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Speech t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [19:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: CPP t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd
id: TF Residual el: 1 t0: [20:00:00 07/06/2017] tf: [08:00:00 09/06/2017] cu: CSRU dt: 2160
id: TF Residual t0: [20:00:00 07/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [19:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Nepro t0: [20:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [19:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Urine Out Foley t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: INV Line#3 Zero/Cal t0: [20:00:00 07/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 1293368 hi: 12801 t0: [22:00:00 07/06/2017] tf: [08:00:00 08/06/2017] mn: Labetalol HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 1293369 hi: 12801 t0: [22:00:00 07/06/2017] tf: [08:00:00 08/06/2017] mn: Labetalol HCl pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: CVP t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Riker-SAS Scale t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 id: NBP t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 191 n1: 191 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 123.667 n1: 123.667 u1: mmHg st: NotStopd id: Arterial BP t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 178 n1: 178 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Previous WeightF t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:15:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd
id: Service Type t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Level of Conscious t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Orientation t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Pattern t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Source t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [21:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [21:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Less Restrict Meas. t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Localizes st: NotStopd id: Restraint Location t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd id: Bowel Sounds t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [22:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [22:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: CVP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: NICARDIPINE--MG/HR t0: [21:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NICARDIPINE--MG/HR t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NBP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd
id: NICARDIPINE el: 1 t0: [21:00:00 07/06/2017] tf: [09:00:00 12/06/2017] cu: CSRU dt: 6480
id: .9% Normal Saline 1000.0ml t0: [23:00:00 07/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [23:00:00 07/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [20:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: NICARDIPINE t0: [21:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [22:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [23:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Cerebral Drain L Ventricular Drain t0: [23:00:00 07/06/2017] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Cerebral Drain Total t0: [23:00:00 07/06/2017] el: 3 cg: RN cu: CSRU pv: 55 cv: 256 ac: 24 ap: none re: 0
id: CVP t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:30:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd
pi: 1293832 hi: 12801 t0: [01:00:00 08/06/2017] tf: [00:00:00 09/06/2017] mn: Hydralazine HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Aggitation t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Aggitation t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Anxiety t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Anxiety t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Auditory Disturbance t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: sum st: NotStopd id: CIWA Sum Total t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: sum st: NotStopd id: Headache t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Headache t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Nausea and Vomiting t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No addit/ ? date st: NotStopd id: Orient/Clouding Sens t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No addit/ ? date st: NotStopd id: Paroxysmal Sweats t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Paroxysmal Sweats t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Seizure t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Seizure t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tactile Disturbances t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Tremor t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Visual Disturbances t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NBP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 109.667 n1: 109.667 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Chest PT R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Chest PT R/L t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Care t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Pupil Response R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Restraint Location t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [00:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [00:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Dilantin t0: [19:54:00 07/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 rs: Final st: NotStopd
pi: 1294029 hi: 12801 t0: [04:00:00 08/06/2017] tf: [03:00:00 09/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: ICP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: LL Strength/Movement t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 109.667 n1: 109.667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103.667 n1: 103.667 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 113.667 n1: 113.667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: CPP t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [03:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [01:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Nepro t0: [02:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Nepro t0: [03:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [01:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [02:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [03:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: WBC (4-11,000) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: WBC t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: Hematocrit t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 37.8 n1: 37.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 11.8 n1: 11.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 253 n1: 253 rs: Final st: NotStopd id: RBC t0: [03:55:00 08/06/2017] 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: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: BUN t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chest PT R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Calcium t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Magnesium t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Diet Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Independent st: NotStopd id: Precautions t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [20:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [22:00:00 07/06/2017] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Temp. Site t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: BUN (6-20) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Dilantin t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Bowel Sounds t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Magnesium (1.6-2.6) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:55:00 08/06/2017] 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: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:55:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: CPP t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: TF Residual t0: [04:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [04:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: CVP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Aggitation t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Anxiety t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: sum st: NotStopd id: Headache t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Nausea and Vomiting t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No addit/ ? date st: NotStopd id: Paroxysmal Sweats t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Seizure t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [04:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: NBP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [05:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 57 vu: ml
id: Pain Present t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NBP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [07:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [06:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Nepro t0: [07:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [06:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [07:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [07:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Communication t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Diet Type t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pupil Response R/L t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Spontaneous Movement t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
pi: 1294263 hi: 12801 t0: [08:00:00 08/06/2017] tf: [07:00:00 09/06/2017] mn: Phenytoin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 1294264 hi: 12801 t0: [16:00:00 08/06/2017] tf: [07:00:00 11/06/2017] mn: Phenytoin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xu: Enter on Label pi: 1294292 hi: 12801 t0: [10:00:00 08/06/2017] tf: [10:00:00 09/06/2017] mn: Diltiazem pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 1294293 hi: 12801 t0: [16:00:00 08/06/2017] tf: [15:00:00 07/07/2017] mn: Labetalol HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: O2 Delivery Device t0: [09:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) t0: [09:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Art.pH t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Glucose t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 156 n1: 156 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 278 n1: 278 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 156 n1: 156 rs: Final st: NotStopd
id: CaO2 t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.5157 n1: 16.5157 u1: ml/dl st: NotStopd id: SaO2 t0: [08:58:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: NICARDIPINE--MG/HR t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Airway Size t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: LL Strength/Movement t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 110.667 n1: 110.667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: O2 Delivery Device t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal st: NotStopd id: Spontaneous Movement t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Temp. Site t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [08:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 08/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [08:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [08:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [08:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NBP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 180 n1: 180 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 111.333 n1: 111.333 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: Significant Events t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated st: NotStopd id: SpO2 t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [09:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [09:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: FiO2 Set t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Type t0: [08:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: ETT Mark/Location t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Inspired Gas Temp t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [09:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: NICARDIPINE--MG/HR t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: Inc Dsg/Status #1 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103.667 n1: 103.667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro t0: [10:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [09:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [10:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [10:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Glucose t0: [11:00:00 08/06/2017] el: 0 cg: PCT cu: CSRU v1: 159 n1: 159 rs: Manual st: NotStopd id: Glucose (70-105) t0: [11:00:00 08/06/2017] el: 0 cg: PCT cu: CSRU v1: 159 n1: 159 rs: Manual st: NotStopd
id: Procedures t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd id: Radiologic Study t0: [10:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Service Type t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 id: NBP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 103.333 n1: 103.333 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [11:00:00 08/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro t0: [11:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml id: NICARDIPINE t0: [11:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [11:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 200 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol el: 2 cg: RN cu: CSRU ra: 22.8 ru: ml/hr
id: Less Restrict Meas. t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 22cm v2: Lip st: NotStopd id: Alarms t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: ICP t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: ICP t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Airway Size t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Incision/Wound #1 t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: LL Strength/Movement t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Reason For Restraint t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Temp. Site t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 08/06/2017] 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 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: CPP t0: [12:10:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: CPP t0: [12:15:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd
id: TF Residual t0: [12:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: NICARDIPINE t0: [12:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 39 vu: ml
id: Propofol el: 2 t0: [09:00:00 08/06/2017] tf: [06:30:00 11/06/2017] cu: CSRU dt: 4170
id: Propofol t0: [09:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [12:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: CaO2 t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7965 n1: 15.7965 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: SaO2 t0: [12:56:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Nepro t0: [14:00:00 08/06/2017] el: 1 ai: 304 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 22cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: HOB t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Activity t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Activity Tolerance t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Inc Dsg/Status #1 t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Airway Size t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Incision/Wound #1 t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Level of Conscious t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Orientation t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Reason For Restraint t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Ventilator Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: CPP t0: [13:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: CPP t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol el: 2 t0: [10:00:00 08/06/2017] tf: [07:00:00 09/06/2017] cu: CSRU dt: 1260 id: Respalor el: 1 t0: [13:00:00 08/06/2017] tf: [15:00:00 09/06/2017] cu: CSRU dt: 1560
id: D5W 100.0ml t0: [12:00:00 08/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 11.4 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 11.4 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: Nepro t0: [12:00:00 08/06/2017] el: 1 ai: 304 cg: RN cu: CSRU vo: 70 vu: ml st: Stopped id: NICARDIPINE t0: [13:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [14:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [12:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Respalor t0: [13:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [14:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [12:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [13:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [14:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [13:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 14 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 11 vu: ml
id: Propofol t0: [13:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Communication t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: LL Strength/Movement t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Motor Response t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pupil Response R/L t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: RL Strength/Movement t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RU Strength/Movement t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Speech t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Verbal Response t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: ETT Mark/Location t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Inspired Gas Temp t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 525 n1: 525 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: IV #1 Reason DC'D t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Reason DC'D t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 D/C Date t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [17:00:00 08/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 1295660 hi: 12801 t0: [18:00:00 08/06/2017] tf: [20:00:00 23/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 18, 6 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: CPP t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: CPP t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd
id: Propofol t0: [15:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Daily Wake Up t0: [14:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Daily Wake Up t0: [16:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: IV #1 Reason DC'D t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Diet Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Care t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [15:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Pupil Response R/L t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: RL Strength/Movement t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Reason For Restraint t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Localizes st: NotStopd id: Restraint Location t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Therapeutic Bed t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [17:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [16:00:00 08/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [16:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [15:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [16:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [17:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [15:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [16:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [17:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [17:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [15:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 24 vu: ml id: Cerebral Drain L Ventricular Drain t0: [16:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: Cerebral Drain L Ventricular Drain t0: [17:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Less Restrict Meas. t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 22cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Inc Dsg/Status #1 t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Airway Size t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Incision/Wound #1 t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: LL Strength/Movement t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU st: NotStopd id: Arterial BP t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RU Strength/Movement t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Reason For Restraint t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Localizes st: NotStopd id: Restraint Location t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Ventilator Type t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: GT Flush el: 1 t0: [18:00:00 08/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 26034
id: TF Residual t0: [18:00:00 08/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [18:00:00 08/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: NICARDIPINE t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: GT Flush t0: [18:00:00 08/06/2017] el: 1 ai: 116 cg: RN cu: CSRU vo: 30 vu: ml id: Respalor t0: [18:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Propofol t0: [18:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Arterial BP t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:23:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 08/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml st: Stopped id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [19:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [19:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: Cerebral Drain L Ventricular Drain t0: [19:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Propofol t0: [19:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:23:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Inspired Gas Temp t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Set) t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:20:00 08/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Gravity v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Therapeutic Bed t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: CPP t0: [18:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: CPP t0: [19:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: CPP t0: [20:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [20:00:00 08/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: GT Flush t0: [20:00:00 08/06/2017] el: 1 ai: 116 cg: RN cu: CSRU vo: 30 vu: ml id: Respalor t0: [20:00:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 14 vu: ml
id: Propofol t0: [20:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU cv: 190 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: Propofol t0: [21:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 60 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [22:30:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 22cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV#1 WaveformAppear t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Reinforced st: NotStopd id: Airway Size t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Incision/Wound #1 t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: LL Strength/Movement t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RU Strength/Movement t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Reason For Restraint t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Restraint DC'd st: NotStopd id: Restraints Evaluated t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [21:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Source/Amt t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Temp. Site t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Ventilator Type t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [22:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [21:30:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [21:30:00 08/06/2017] el: 1 cg: RN cu: CSRU v1: Done id: CPP t0: [22:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 3 t0: [22:30:00 08/06/2017] tf: [15:00:00 09/06/2017] cu: CSRU dt: 990
id: .9% Normal Saline 1000.0ml t0: [22:30:00 08/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:30:00 08/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 68.4 vu: ml id: NICARDIPINE t0: [22:30:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [22:30:00 08/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 162.5 vu: ml id: Urine Out Foley t0: [22:30:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: Cerebral Drain L Ventricular Drain t0: [22:30:00 08/06/2017] el: 1 cg: RN cu: CSRU vo: 19 vu: ml
id: Propofol t0: [22:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 80.9 cv: 908.9 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 303.4 cv: 3871.4 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 269 cv: 269 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 162.5 cv: 1592.5 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 250 cv: 1970 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 34.4 cv: 1656.4 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 34.4 cv: 4204.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 34.4 cv: 34.4 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 269 cv: 2215 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 08/06/2017] el: 3 cg: RN cu: CSRU pv: 19 cv: 245 ac: 24 ap: none re: 0
id: Pain Present t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: ICP t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: NICARDIPINE--MG/HR t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Response R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: CPP t0: [23:00:00 08/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 34.2 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Gastric Meds t0: [00:00:00 09/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [01:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [00:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 97.5 vu: ml id: Respalor t0: [01:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [02:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Urine Out Foley t0: [01:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [00:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Cerebral Drain L Ventricular Drain t0: [02:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 21 vu: ml
id: Propofol t0: [00:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [01:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [23:00:00 08/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0
id: Art.pH t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Glucose t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:28:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd
id: Radiologic Study t0: [01:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Range of Motion t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Incision/Wound #1 t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Pupil Size R/L t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RU Strength/Movement t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Reason For Restraint t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [03:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [03:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [03:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Propofol t0: [03:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 1387.7 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 3835.2 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 1267.5 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 3420 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 147.2 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 4351.7 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 3688 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 09/06/2017] el: 3 cg: RN cu: CSRU cv: 268 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: WBC t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Hematocrit t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33.9 n1: 33.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 217 n1: 217 rs: Final st: NotStopd id: RBC t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.89 n1: 3.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd
id: Range of Motion t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Incision/Wound #1 t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Arterial BP t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Reason For Restraint t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Propofol t0: [04:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Communication t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [02:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [04:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Cerebral Drain L Ventricular Drain t0: [04:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: BUN t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Calcium t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:33:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: RSBI Not Completed t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Inspired Gas Temp t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:45:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [05:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [05:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Propofol t0: [05:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 16.4 n1: 16.4 u1: L/min st: NotStopd id: PEEP Set t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [01:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Range of Motion t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Incision/Wound #1 t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Arterial BP t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Reason For Restraint t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [06:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Cerebral Drain L Ventricular Drain t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: D5W 100.0ml t0: [06:00:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
pi: 1297130 hi: 12801 t0: [07:00:00 09/06/2017] tf: [23:00:00 15/06/2017] mn: Propofol (Generic) pt: Unit Dose st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Communication t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [06:00:00 09/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: NICARDIPINE--MG/HR t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: LL Strength/Movement t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: Level of Conscious t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Pupil Response R/L t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RU Strength/Movement t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Localizes st: NotStopd id: Speech t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Gastric Meds t0: [06:00:00 09/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Propofol t0: [06:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Glucose t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:20:00 09/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd
id: FiO2 Set t0: [06:30:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Service Type t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Respiratory Rate t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: NICARDIPINE t0: [07:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [07:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Propofol t0: [07:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 741 n1: 741 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Activity Tolerance t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Size R/L t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Temp. Site t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Turn t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: TF Residual t0: [08:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml id: NICARDIPINE t0: [08:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Respalor t0: [08:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [08:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [08:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Follows Commands t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: LL Strength/Movement t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pupil Response R/L t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish st: NotStopd id: RL Strength/Movement t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Responds to Stimuli t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Localizes st: NotStopd id: Spontaneous Movement t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd
id: Sputum Color/Consist t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Arterial BP t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: Propofol t0: [09:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: D5W 100.0ml t0: [08:00:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol el: 2 t0: [10:00:00 09/06/2017] tf: [19:54:00 26/06/2017] cu: CSRU dt: 25074
id: .9% Normal Saline 1000.0ml t0: [10:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: NICARDIPINE t0: [10:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Respalor t0: [10:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [10:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Propofol t0: [10:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1297648 hi: 12801 t0: [14:00:00 09/06/2017] tf: [15:00:00 07/07/2017] mn: Diltiazem pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Communication t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Status t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pupil Response R/L t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Respiratory Pattern t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Localizes st: NotStopd id: Speech t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Neuro Drain Lev/Loc t0: [10:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd
id: Fingerstick Glucose t0: [10:15:00 09/06/2017] el: 0 cg: PCT cu: CSRU v1: 156 n1: 156 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 34.5 vu: ml id: NICARDIPINE t0: [11:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [11:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml
id: Propofol t0: [11:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 09/06/2017] el: 0 cg: PCT cu: CSRU v1: 169 n1: 169 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NICARDIPINE--MG/HR t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Activity Tolerance t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Localizes st: NotStopd id: Restraint Location t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [12:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [12:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [12:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Propofol t0: [12:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cuff Pressure-Airway t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 17.2 n1: 17.2 u1: L/min st: NotStopd id: PEEP Set t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [13:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [13:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [13:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml
id: Propofol t0: [13:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Activity t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Activity Tolerance t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [14:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Propofol t0: [14:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV #3 Insert Date t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: IV #3 Site/Size t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: RU Ant Forearm v2: 18 gauge st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: TF Residual t0: [14:00:00 09/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [14:45:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: Propofol t0: [14:45:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Airway Size t0: [15:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd
id: Cuff Pressure-Airway t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: cmH2O st: NotStopd id: FiO2 Set t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.8 n1: 15.8 u1: L/min st: NotStopd id: PEEP Set t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:15:00 09/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: NICARDIPINE t0: [16:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [14:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [15:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [15:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ICP t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: ICP t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [13:00:00 09/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [15:00:00 09/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
id: Service Type t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 09/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [17:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Cerebral Drain L Ventricular Drain t0: [17:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Propofol t0: [16:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Radiologic Study t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Rate t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: NICARDIPINE t0: [18:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [18:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Propofol t0: [17:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 rs: Manual st: NotStopd
id: Alarms t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Temp. Site t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd
id: Communication t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pupil Response R/L t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Localizes st: NotStopd id: Speech t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Respalor el: 1 t0: [19:00:00 09/06/2017] tf: [10:00:00 12/06/2017] cu: CSRU dt: 3780
id: D5W 100.0ml t0: [18:00:00 09/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [19:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [19:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: IV #3 Reason DC'D t0: [19:00:00 09/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Type/Site t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #3 Insert Date t0: [19:00:00 09/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #3 Site/Size t0: [19:00:00 09/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #3 t0: [19:00:00 09/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: calprevflg t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: Propofol t0: [20:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: ICP t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Arterial BP t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: CPP t0: [21:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: NICARDIPINE t0: [21:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [21:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [21:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [19:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [21:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Incision/Wound #1 t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Symptoms t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Sternal Rub v2: Localizes st: NotStopd id: Restraint Location t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [20:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Urine Source t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 09/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [22:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [22:00:00 09/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Propofol t0: [22:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cerebral Drain L Ventricular Drain t0: [22:00:00 09/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 1299681 hi: 12801 t0: [00:00:00 10/06/2017] tf: [15:00:00 07/07/2017] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Range of Motion t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Parameters Checked t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: FiO2 Set t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NICARDIPINE--MG/HR t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: NICARDIPINE--MG/HR t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 id: Inc Dsg/Status #1 t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Airway Size t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Incision/Wound #1 t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Intubation Date t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: LL Strength/Movement t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Symptoms t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: PEEP Set t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Arterial BP t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pressure Support t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Pupil Response R/L t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Total) t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 616 n1: 616 u1: ml/B st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: CPP t0: [23:00:00 09/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: NICARDIPINE t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [00:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 24 vu: ml
id: Propofol t0: [00:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [23:00:00 09/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 525 n1: 525 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:15:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Arterial BP t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [01:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Respalor t0: [01:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [01:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Propofol t0: [01:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 id: Activity Tolerance t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Plug st: NotStopd id: Sputum Color/Consist t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Plug st: NotStopd id: Sputum Source/Amt t0: [00:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [01:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [02:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [02:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd
id: TF Residual el: 1 t0: [00:00:00 10/06/2017] tf: [06:00:00 10/06/2017] cu: CSRU dt: 360
id: D5W 100.0ml t0: [00:00:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [00:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Respalor t0: [02:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [02:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: Cerebral Drain L Ventricular Drain t0: [02:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Propofol t0: [02:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NICARDIPINE--MG/HR t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Inc Dsg/Status #1 t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [04:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: Gastric Meds t0: [02:00:00 10/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [02:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: NICARDIPINE t0: [03:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Respalor t0: [04:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [04:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Cerebral Drain L Ventricular Drain t0: [04:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Propofol t0: [03:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [04:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 27.8 cv: 1466.1 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 107.8 cv: 3691.1 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 118 cv: 118 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 65 cv: 1625 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 100 cv: 2825 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: -10.2 cv: 643.1 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: -10.2 cv: 4994.8 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: -10.2 cv: -10.2 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 118 cv: 3048 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 10/06/2017] el: 3 cg: RN cu: CSRU pv: 18 cv: 223 ac: 24 ap: none re: 0
id: RSBI Not Completed t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 12.1 n1: 12.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: HOB t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Logroll st: NotStopd
id: Art.pH t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 160 n1: 160 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Ionized Calcium t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.09 n1: 1.09 rs: Final st: NotStopd id: SaO2 t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [03:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: NICARDIPINE--MG/HR t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Respalor t0: [05:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: Propofol t0: [05:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: BUN t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Calcium t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Magnesium t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: CaO2 t0: [04:33:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.022 n1: 14.022 u1: ml/dl st: NotStopd id: WBC t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd id: Hematocrit t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 225 n1: 225 rs: Final st: NotStopd id: RBC t0: [04:37:00 10/06/2017] 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: [04:37:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.4 n1: 12.4 rs: Final st: NotStopd
id: Ventilator Mode t0: [04:10:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Range of Motion t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NICARDIPINE--MG/HR t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Inc Dsg/Status #1 t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Respalor t0: [06:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [06:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Propofol t0: [06:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: TF Residual t0: [06:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 id: Arterial BP t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [04:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [05:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [06:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: NICARDIPINE t0: [07:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Respalor t0: [07:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [07:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.4 n1: 14.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 762 n1: 762 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Range of Motion t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: RL Strength/Movement t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [08:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: NICARDIPINE t0: [09:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Respalor t0: [09:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [09:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [08:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [09:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Arterial BP t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [10:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Respalor t0: [10:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [10:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [10:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ICP t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CPP t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
pi: 1300538 hi: 12801 t0: [17:00:00 10/06/2017] tf: [12:00:00 11/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 5, 17 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Range of Motion t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [09:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [11:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Respalor t0: [11:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [11:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [11:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: CaO2 t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.0685 n1: 14.0685 u1: ml/dl st: NotStopd id: ETT Mark/Location t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.3 n1: 15.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Previous Weight t0: [22:00:00 08/06/2017] el: 0 cg: 3161 cu: CSRU v1: 118.9 n1: 118.9 u1: kg st: NotStopd id: Previous WeightF t0: [00:00:00 09/06/2017] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 09/06/2017] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 08/06/2017] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 08/06/2017] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 08/06/2017] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Resp Rate (Total) t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 639 n1: 639 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Arterial Base Excess t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 175 n1: 175 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [11:51:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: FiO2 Set t0: [12:45:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Service Type t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [11:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: NICARDIPINE--MG/HR t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: NICARDIPINE--MG/HR t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Arterial BP t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: Respalor t0: [13:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [13:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: Cerebral Drain L Ventricular Drain t0: [13:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Propofol t0: [12:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [13:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml el: 3 t0: [10:00:00 10/06/2017] tf: [19:00:00 14/06/2017] cu: CSRU dt: 6300
id: .9% Normal Saline 1000.0ml t0: [10:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Respalor t0: [14:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [14:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [14:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [15:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Activity t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [14:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: NICARDIPINE--MG/HR t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: NICARDIPINE--MG/HR t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Activity Tolerance t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 57 vu: ml id: Respalor t0: [16:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 130 vu: ml id: Urine Out Foley t0: [16:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [16:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1301178 hi: 12801 t0: [22:00:00 10/06/2017] tf: [15:00:00 07/07/2017] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 557 n1: 557 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Color/Consist t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [10:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Respalor t0: [17:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [17:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [17:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: ICP t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: ICP t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Activity t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: NICARDIPINE--MG/HR t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Activity Tolerance t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: CPP t0: [13:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: CPP t0: [17:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: CPP t0: [18:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Respalor t0: [18:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [18:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Propofol t0: [18:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Arterial BP t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 39.3889 n1: 39.3889 u1: Deg. C st: NotStopd id: calprevflg t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [13:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: NICARDIPINE t0: [14:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: NICARDIPINE t0: [16:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: NICARDIPINE t0: [17:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: NICARDIPINE t0: [18:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: NICARDIPINE t0: [19:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [19:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [19:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1301359 hi: 12801 t0: [20:00:00 10/06/2017] tf: [19:00:00 11/06/2017] mn: Acetaminophen pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: INV Line#1 Type/Site t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [19:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd
id: D5W 100.0ml t0: [18:00:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [19:00:00 10/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: BUN t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Magnesium t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: ETT Mark/Location t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 16.9 n1: 16.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: 687 n1: 687 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 10/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Chest PT R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Activity Tolerance t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: Gastric Meds t0: [20:00:00 10/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [20:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 16 vu: ml
id: Propofol t0: [20:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Alarms t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Pain Present t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Arterial BP t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: TF Residual el: 1 t0: [20:00:00 10/06/2017] tf: [20:00:00 12/06/2017] cu: CSRU dt: 2880
id: TF Residual t0: [20:00:00 10/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [21:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [21:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [21:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [21:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Art.pH t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CVP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [22:00:00 10/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Lactic Acid t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: NBP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Arterial Base Excess t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: CPP t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [22:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [22:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Propofol t0: [22:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Nursing Consultation t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Psych Liason st: NotStopd id: Orientation t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Reason For Restraint t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Urine Source t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Pain Present t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 10/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 10/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [23:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [23:00:00 10/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [23:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [23:00:00 10/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Potassium t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [22:05:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [23:00:00 10/06/2017] el: 1 cg: RN cu: CSRU vo: 18 vu: ml
pi: 1301754 hi: 12801 t0: [01:00:00 11/06/2017] tf: [19:00:00 26/06/2017] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest PT R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Temp. Site t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [00:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd
id: TF Residual t0: [00:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [00:00:00 11/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: NICARDIPINE t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [00:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Propofol t0: [00:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU cv: 210 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [00:00:00 11/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: ETT Mark/Location t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.3 n1: 15.3 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.9 n1: 13.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 678 n1: 678 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Vancomycin/Random t0: [17:30:00 10/06/2017] el: 0 cg: 3161 cu: CSRU v1: 27.2 n1: 27.2 rs: Final st: NotStopd
id: Pain Present t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Chest PT R/L t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Activity t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Paralytic Med st: NotStopd id: Motor Response t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Respiratory Pattern t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Therapeutic Bed t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: CPP t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 11/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [01:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: NICARDIPINE t0: [02:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [01:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [02:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [01:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Urine Out Foley t0: [02:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [01:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: NICARDIPINE--MG/HR t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Arterial BP t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [03:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: CPP t0: [03:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: CPP t0: [03:35:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [03:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [03:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [03:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [03:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [03:30:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [03:35:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: RSBI Not Completed t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 788 n1: 788 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Gastric Nasogastric t0: [04:00:00 11/06/2017] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Daily Wake Up t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: TF Residual t0: [04:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [04:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Propofol t0: [04:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: NICARDIPINE--MG/HR t0: [04:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1
id: WBC (4-11,000) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: WBC t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: Hematocrit t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32.9 n1: 32.9 u1: % rs: Final st: NotStopd id: Platelets t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 249 n1: 249 rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd
id: PT t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: INR t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PTT t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24.9 n1: 24.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: PTT(22-35) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 24.9 n1: 24.9 rs: Final st: NotStopd
id: BUN t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Magnesium t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: Total Bili t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: ALT t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: BUN (6-20) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Dilantin t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:14:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: CVP t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Arterial BP t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [05:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [05:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [04:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 58 vu: ml
id: Propofol t0: [05:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest PT R/L t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: HOB t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Activity t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Activity Tolerance t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 15 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [06:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [06:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Propofol t0: [06:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:30:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd
id: Propofol t0: [06:30:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: CVP t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 id: Arterial BP t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: CVP t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.5 n1: 1.5 id: Arterial BP t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:05:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 11/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: NICARDIPINE t0: [07:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [07:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Propofol el: 2 t0: [07:05:00 11/06/2017] tf: [06:00:00 12/06/2017] cu: CSRU dt: 1375
id: Propofol t0: [07:05:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1302085 hi: 12801 t0: [16:00:00 11/06/2017] tf: [11:00:00 18/06/2017] mn: Phenytoin pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 0, 8, 16 dn: 3 di: Ongoing xu: Enter on Label pi: 1302086 hi: 12801 t0: [08:00:00 11/06/2017] tf: [07:00:00 12/06/2017] mn: Phenytoin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Communication t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: LL Strength/Movement t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Respiratory Pattern t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: ETT Mark/Location t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 626 n1: 626 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [08:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Care t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Turn t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 11/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: NICARDIPINE t0: [08:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [08:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [08:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [08:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 32 vu: ml
id: Service Type t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: NICARDIPINE--MG/HR t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: NICARDIPINE t0: [09:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [09:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [09:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Propofol t0: [09:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 id: Arterial BP t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: NICARDIPINE t0: [10:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [10:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [10:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Propofol t0: [10:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: TF Residual t0: [08:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Less Restrict Meas. t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Incision/Wound #1 t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: INV#2Chg o/Wire Date t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd
id: Service Type t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 id: Arterial BP t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [08:00:00 11/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [11:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [11:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [11:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Propofol t0: [11:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Chest PT R/L t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Eye Care t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Skin Care t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Turn t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: ETT Mark/Location t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 619 n1: 619 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 1302541 hi: 12801 t0: [17:00:00 11/06/2017] tf: [12:00:00 19/06/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 5, 17 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: NICARDIPINE t0: [12:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [12:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [12:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [12:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Propofol io: N/A 100.0vl + 1000mcgkgmin Propofol el: 101 cg: RN cu: CSRU am: 1000 du: mcgkgmin rt: IV Drip
io: N/A 100.0vl + 1000mcgkgmin Propofol el: 1 cg: RN cu: CSRU ra: 22.8 ru: ml/hr
id: Pain Present t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: calprevflg t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: CPP t0: [09:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: CPP t0: [10:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: CPP t0: [11:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: CPP t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: CPP t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: N/A 100.0vl + 1000mcgkgmin Propofol el: 1 t0: [09:00:00 11/06/2017] tf: [07:00:00 13/06/2017] cu: CSRU dt: 2760
id: .9% Normal Saline 1000.0ml t0: [13:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.7 vu: ml st: Restart id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 11/06/2017] el: 2 ai: 304 cg: RN cu: CSRU vo: 28.7 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [09:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [10:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [11:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [12:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [13:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [13:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [13:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [13:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: NICARDIPINE--MG/HR t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Arterial BP t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 38.5 n1: 38.5 u1: Deg. C st: NotStopd id: calprevflg t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [14:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: Gastric Meds t0: [10:00:00 11/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [12:00:00 11/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: NICARDIPINE t0: [14:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [14:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [14:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Communication t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Eye Opening t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GCS Total t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LL Strength/Movement t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Level of Conscious t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Orientation t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Responds to Stimuli t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
pi: 1302937 hi: 12801 t0: [16:00:00 11/06/2017] tf: [15:00:00 07/07/2017] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [15:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 28.5 vu: ml id: NICARDIPINE t0: [15:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [15:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Chest PT R/L t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Eye Care t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Turn t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [13:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: done
id: INV#2Chg o/Wire Date t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: ICP t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NICARDIPINE--MG/HR t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: NICARDIPINE--MG/HR t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: CPP t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: CPP t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Sputum Color/Consist t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [14:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Braden Activity t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden Score t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Chest PT R/L t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Done v2: Not Done st: NotStopd id: Eye Care t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [16:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [16:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [16:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [13:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [15:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: CPP t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: ETT Mark/Location t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: Apnea Time Interval t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 608 n1: 608 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: PEEP Set t0: [16:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd
id: Service Type t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NICARDIPINE--MG/HR t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Arterial BP t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [17:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [17:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [17:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: Cerebral Drain L Ventricular Drain t0: [16:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Propofol t0: [17:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: NICARDIPINE--MG/HR t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Arterial BP t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 11/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: D5W 100.0ml t0: [18:00:00 11/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [18:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [18:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [18:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [17:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [18:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [18:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Communication t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Eye Opening t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GCS Total t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: LL Strength/Movement t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Responds to Stimuli t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Responds to Stimuli t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Verbal Response t0: [16:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [18:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd
id: INV#2Chg o/Wire Date t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 id: Activity Tolerance t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [19:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [19:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [19:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Propofol t0: [19:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: 598 n1: 598 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 11/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: NICARDIPINE--MG/HR t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Inc Closure/Appear#1 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Serous v2: Scant st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [20:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [20:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [20:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [20:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [20:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [20:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: CVP t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: TF Residual t0: [20:00:00 11/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [21:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [21:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [21:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [21:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Propofol t0: [21:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 rs: Manual st: NotStopd
id: Pain Present t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Respiratory Pattern t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Responds to Stimuli t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [22:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [22:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [22:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [22:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Vancomycin/Random t0: [17:30:00 11/06/2017] el: 0 cg: 3161 cu: CSRU v1: 18.4 n1: 18.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest PT R/L t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Activity t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: NICARDIPINE--MG/HR t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 id: Activity Tolerance t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Reason For Restraint t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 11/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [23:00:00 11/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [23:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Respalor t0: [23:00:00 11/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [23:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [23:00:00 11/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [23:00:00 11/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 27.8 cv: 1724.6 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 107.8 cv: 3854.6 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 110 cv: 110 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 65 cv: 1560 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 50 cv: 2915 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: -2.2 cv: 719.6 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: -2.2 cv: 5714.39 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: -2.2 cv: -2.2 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 110 cv: 3135 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 11/06/2017] el: 3 cg: RN cu: CSRU pv: 60 cv: 220 ac: 24 ap: none re: 0
id: INV#2Chg o/Wire Date t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NICARDIPINE--MG/HR t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 id: Arterial BP t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [00:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: NICARDIPINE t0: [00:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Respalor t0: [00:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [00:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Ventilator Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: FiO2 Set t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 746 n1: 746 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Daily Wake Up t0: [20:00:00 11/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Serous st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Pupil Response R/L t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [01:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: TF Residual t0: [00:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [01:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [00:00:00 12/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Respalor t0: [01:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [01:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [01:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 27.8 cv: 817.2 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 92.8 cv: 2492.2 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU cv: 160 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 153 cv: 153 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 65 cv: 1495 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 140 cv: 2567 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: -60.2 cv: -297.8 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: -60.2 cv: 5416.59 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: -60.2 cv: -60.2 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 153 cv: 2790 ac: 24 ap: none re: 0
id: Art.pH t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 169 n1: 169 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Ionized Calcium t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd
id: ETT Mark/Location t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 698 n1: 698 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: WBC t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: Hematocrit t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32.9 n1: 32.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 251 n1: 251 rs: Final st: NotStopd id: RBC t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.74 n1: 3.74 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd
id: Pain Present t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: ICP t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: CPP t0: [03:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: CPP t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [02:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [03:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [04:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [02:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [03:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [04:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [02:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [04:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [02:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [03:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [04:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Communication t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LL Strength/Movement t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Level of Conscious t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Chest PT R/L t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Serous st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: BUN t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Magnesium t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Dilantin t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:26:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Reason For Restraint t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd
id: TF Residual t0: [04:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [05:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [05:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 62 vu: ml
id: Propofol t0: [05:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: RSBI Not Completed t0: [06:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Heart Rate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Motor Response t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Reason For Restraint t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [06:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [06:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [06:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: CVP t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LL Strength/Movement t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Urine Source t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [06:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [07:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: NICARDIPINE t0: [01:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: NICARDIPINE t0: [02:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: NICARDIPINE t0: [03:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: NICARDIPINE t0: [04:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: NICARDIPINE t0: [05:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: NICARDIPINE t0: [06:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vu: ml id: Respalor t0: [07:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml
id: Propofol el: 2 t0: [07:00:00 12/06/2017] tf: [07:00:00 13/06/2017] cu: CSRU dt: 1440
id: Propofol t0: [07:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 690 n1: 690 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: NICARDIPINE t0: [09:00:00 12/06/2017] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Radiologic Study t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Rate t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
id: Propofol t0: [09:30:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Respalor t0: [08:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [09:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [10:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [09:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Temp. Site t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [09:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [09:30:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Less Restrict Meas. t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest PT R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: ICP t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Responds to Stimuli t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [09:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd id: CPP t0: [08:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: CPP t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Propofol t0: [08:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [10:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1304087 hi: 12801 t0: [22:00:00 12/06/2017] tf: [15:00:00 07/07/2017] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd
id: Propofol t0: [11:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [11:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Respalor el: 1 t0: [11:00:00 12/06/2017] tf: [09:00:00 14/06/2017] cu: CSRU dt: 2760
id: .9% Normal Saline 1000.0ml t0: [11:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Respalor t0: [11:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [12:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [11:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Cerebral Drain L Ventricular Drain t0: [11:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 21 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
id: Propofol t0: [12:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Communication t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: LL Strength/Movement t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Speech t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Verbal Response t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: ETT Mark/Location t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: ICP t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: ICP t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: CPP t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: CPP t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Respalor t0: [13:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [12:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Urine Out Foley t0: [13:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [13:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: Propofol t0: [13:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1304776 hi: 12801 t0: [15:00:00 12/06/2017] tf: [15:00:00 07/07/2017] mn: Albuterol pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: CaO2 t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.8403 n1: 13.8403 u1: ml/dl st: NotStopd id: SaO2 t0: [14:07:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Respiratory Rate Set t0: [14:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd
id: FiO2 Set t0: [14:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: MDI #1 (Puff/Drug) t0: [14:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: ICP t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: ICP t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [13:30:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: CPP t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Respalor t0: [14:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [14:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Propofol t0: [13:30:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Ectopy Frequency t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [14:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
id: Service Type t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Radiologic Study t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Respalor t0: [15:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [15:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [15:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [07:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [08:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [09:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [10:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [11:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [12:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [13:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [14:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [15:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml
id: Art.pH t0: [15:21:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:21:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:21:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:21:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:21:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 191 n1: 191 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:21:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Level of Conscious t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Orientation t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [16:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [16:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Cerebral Drain L Ventricular Drain t0: [15:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 63.6364 n1: 63.6364 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 17.8 n1: 17.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Pain Assess Method t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Parameters Checked t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Eye Opening t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GCS Total t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: ICP t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Closure/Appear#1 t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Responds to Stimuli t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Location t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [13:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Mobility t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden Score t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd id: CPP t0: [15:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: CPP t0: [16:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [16:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: Propofol t0: [16:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [17:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [17:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [17:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [17:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [17:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 6 vu: ml
id: Propofol t0: [17:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Activity t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd id: CPP t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [18:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [18:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [18:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Propofol t0: [18:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Daily Wake Up t0: [18:00:00 12/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Vertigo st: NotStopd id: Oral Cavity t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: SpO2 t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Urine Color/Appear t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [18:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [19:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [19:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [19:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [19:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: Cerebral Drain L Ventricular Drain t0: [19:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 6 vu: ml
id: Propofol t0: [19:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 12/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: TF Residual t0: [20:00:00 12/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [20:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [20:00:00 12/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: Respalor t0: [20:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [20:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 32 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Propofol t0: [20:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 63.6364 n1: 63.6364 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 750 n1: 750 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 12/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Arterial BP t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Rate t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [21:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [21:00:00 12/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Respalor t0: [21:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [21:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Cerebral Drain L Ventricular Drain t0: [21:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Propofol t0: [21:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Procedures t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Procedures t0: [21:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Urine Culture st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [22:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [22:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [22:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Propofol t0: [22:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cerebral Drain L Ventricular Drain t0: [22:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 7 vu: ml
id: Gastric Meds t0: [22:00:00 12/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 12/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 12/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [23:00:00 12/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [23:00:00 12/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [23:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [23:00:00 12/06/2017] el: 1 cg: RN cu: CSRU vo: 13 vu: ml
id: Propofol t0: [23:00:00 12/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cerebral Drain Total t0: [23:00:00 12/06/2017] el: 3 cg: RN cu: CSRU pv: 13 cv: 223 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Integrity t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [00:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [00:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: Cerebral Drain L Ventricular Drain t0: [00:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 13 vu: ml
id: Propofol t0: [00:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 63.6364 n1: 63.6364 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 17.8 n1: 17.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 713 n1: 713 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd id: CPP t0: [01:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [01:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [01:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [01:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Cerebral Drain L Ventricular Drain t0: [01:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Propofol t0: [01:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [02:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 13/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [00:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [02:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [00:00:00 13/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Respalor t0: [02:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [02:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 65 vu: ml id: Cerebral Drain L Ventricular Drain t0: [02:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 11 vu: ml
id: Propofol t0: [02:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 163 n1: 163 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Ionized Calcium t0: [03:31:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.13 n1: 1.13 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [03:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [02:00:00 13/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Respalor t0: [03:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [03:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 195 vu: ml id: Cerebral Drain L Ventricular Drain t0: [03:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: Propofol t0: [03:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 70 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 85 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: WBC t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: Hematocrit t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 309 n1: 309 rs: Final st: NotStopd id: RBC t0: [03:00:00 12/06/2017] 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: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Guaiac t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd
id: TF Residual t0: [04:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [04:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [04:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Stool Out Fecal Bag t0: [04:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [04:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Propofol t0: [04:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: 20.8542 cv: 1218.87 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: 85.8542 cv: 2458.87 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: 65 cv: 1170 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: 140 cv: 2855 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: -54.1458 cv: -481.133 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: -54.1458 cv: 4935.45 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: -54.1458 cv: -54.1458 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/06/2017] el: 3 cg: RN cu: CSRU pv: 140 cv: 2940 ac: 24 ap: carryForward re: 0
id: RU Strength/Movement t0: [04:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd
id: Calcium t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Glucose t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Dilantin t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: BUN t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 rs: Final st: NotStopd id: BUN (6-20) t0: [03:00:00 12/06/2017] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 rs: Final st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [04:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 63.6364 n1: 63.6364 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5.0 st: NotStopd id: Airway Size t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 687 n1: 687 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [05:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [05:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [05:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 3 vu: ml
id: Propofol t0: [05:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: WBC (4-11,000) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16.5 n1: 16.5 rs: Manual st: NotStopd id: BUN t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 rs: Manual st: NotStopd id: PT t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd id: Calcium t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Manual st: NotStopd id: Chloride t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd id: Creatinine t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2.1 n1: 2.1 rs: Manual st: NotStopd id: Glucose t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd id: INR t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.1 n1: 1.1 rs: Manual st: NotStopd id: Magnesium t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2.6 n1: 2.6 rs: Manual st: NotStopd id: PTT t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 22.5 n1: 22.5 rs: Manual st: NotStopd id: Phosphorous t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Manual st: NotStopd id: Potassium t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 rs: Manual st: NotStopd id: Sodium t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd id: WBC t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16.5 n1: 16.5 rs: Manual st: NotStopd id: BUN (6-20) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 rs: Manual st: NotStopd id: Calcium (8.4-10.2) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Manual st: NotStopd id: Carbon Dioxide t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 rs: Manual st: NotStopd id: Chloride (100-112) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd id: Creatinine (0-1.3) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2.1 n1: 2.1 rs: Manual st: NotStopd id: Dilantin t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 rs: Manual st: NotStopd id: Glucose (70-105) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd id: Hematocrit t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: % rs: Manual st: NotStopd id: Hemoglobin t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10.3 n1: 10.3 u1: gm/dl rs: Manual st: NotStopd id: INR (2-4 ref. range) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.1 n1: 1.1 rs: Manual st: NotStopd id: Magnesium (1.6-2.6) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2.6 n1: 2.6 rs: Manual st: NotStopd id: PT(11-13.5) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd id: PTT(22-35) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 22.5 n1: 22.5 rs: Manual st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Manual st: NotStopd id: Platelets t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 309 n1: 309 rs: Manual st: NotStopd id: Potassium (3.5-5.3) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 rs: Manual st: NotStopd id: RBC t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3.69 n1: 3.69 u1: /mic l rs: Manual st: NotStopd id: Sodium (135-148) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd id: WBC (4-11,000) t0: [03:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 16.5 n1: 16.5 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [05:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Approximated v2: Clean and Dry st: NotStopd id: Inc Dsg/Status #1 t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: RUL Lung Sounds t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: Withdraws st: NotStopd id: Restraint Location t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [06:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Respalor t0: [06:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [06:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [06:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Nitroprusside io: D5W 250.0ml + 50mcgkgmin Nitroprusside el: 200 cg: RN cu: CSRU am: 50 du: mcgkgmin rt: IV Drip
pi: 1306748 hi: 12801 t0: [07:00:00 13/06/2017] tf: [20:00:00 23/06/2017] mn: Nitroprusside Sodium pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Radiologic Study t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Abdominal Xray st: NotStopd id: Fingerstick Glucose t0: [06:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [07:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain el: 1 t0: [07:00:00 13/06/2017] tf: [08:00:00 13/06/2017] cu: CSRU dt: 60
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [07:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vu: ml st: Stopped id: Respalor t0: [07:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Cerebral Drain L Ventricular Drain t0: [06:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [07:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 8 vu: ml
id: Propofol t0: [07:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: D5W 250.0ml + 50mcgkgmin Nitroprusside el: 2 t0: [07:00:00 13/06/2017] tf: [04:00:00 14/06/2017] cu: CSRU dt: 1260
id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [07:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 15.3 vu: ml
id: Nitroprusside el: 2 t0: [07:00:00 13/06/2017] tf: [02:05:00 14/06/2017] cu: CSRU dt: 1145
id: Nitroprusside t0: [07:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.547368 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroprusside t0: [08:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.547368 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 63.6364 n1: 63.6364 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 19.8 n1: 19.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 690 n1: 690 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Alarms t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: Incision/Wound #1 t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Level of Conscious t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Support Systems t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Braden Activity t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [08:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 15.6 vu: ml id: Respalor t0: [08:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [08:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: Cerebral Drain L Ventricular Drain t0: [08:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: GI Intub #1/Site t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Heart Rate t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: ICP t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Level of Conscious t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Orientation t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Pattern t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Source t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: CPP t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Respalor t0: [09:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [09:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Nitroprusside t0: [09:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [10:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: Heart Rate t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Incision/Wound #1 t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Other/Remarks st: NotStopd id: Pupil Size R/L t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Verbal Response t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Nitroprusside t0: [11:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 58.3333 n1: 58.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 34.2 n1: 34.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 15.2 n1: 15.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 390 n1: 390 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Temp. Site t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Nitroprusside t0: [12:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Circulation/SkinInt t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: Incision/Wound #1 t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Braden Activity t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [09:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 7.4 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [10:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 7.4 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [11:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 7.4 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [12:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 7.4 vu: ml id: Respalor t0: [10:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Respalor t0: [11:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Cerebral Drain L Ventricular Drain t0: [09:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [10:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [11:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Propofol el: 2 t0: [10:00:00 13/06/2017] tf: [19:00:00 13/06/2017] cu: CSRU dt: 540
id: Propofol t0: [10:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [11:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [13:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 5.7 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [14:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 5.7 vu: ml id: Urine Out Foley t0: [13:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Nitroprusside t0: [13:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [14:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 101.6 n1: 101.6 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [15:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 5.7 vu: ml
id: Service Type t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Urine Out Foley t0: [15:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Nitroprusside t0: [15:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Circulation/SkinInt t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Diet Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Alarms t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: Incision/Wound #1 t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Restraint Location t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Range of Motion t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Level of Conscious t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: Reason For Restraint t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Source t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [15:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Nitroprusside t0: [16:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.333333 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Respiratory Rate Set t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 670 n1: 670 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 4 t0: [14:00:00 13/06/2017] tf: [08:00:00 14/06/2017] cu: CSRU dt: 1080
id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 13/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [17:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 9.5 vu: ml
id: Nitroprusside t0: [17:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.315789 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: ICP t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd
id: TF Residual el: 1 t0: [18:00:00 13/06/2017] tf: [17:00:00 15/06/2017] cu: CSRU dt: 2820 id: N/A 100.0vl + 1000mcgkgmin Propofol el: 1 t0: [09:00:00 13/06/2017] tf: [19:00:00 13/06/2017] cu: CSRU dt: 600
id: D5W 100.0ml t0: [09:00:00 13/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [17:00:00 13/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [18:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [09:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [10:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [11:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [12:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [13:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [14:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [15:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [16:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [17:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [18:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [16:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 9.5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [18:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 9 vu: ml id: Respalor t0: [18:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [16:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [17:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Propofol t0: [12:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [13:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [15:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [18:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV#2Chg o/Wire Date t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: CVP t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rhythm t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Site Date t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: Incision/Wound #1 t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Urine Source t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [17:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Nitroprusside t0: [18:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.280702 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Position Change t0: [12:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [19:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 8 vu: ml id: Respalor t0: [19:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [18:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Nitroprusside t0: [19:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.368421 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 1308771 hi: 12801 t0: [20:00:00 13/06/2017] tf: [10:00:00 16/06/2017] mn: Hydralazine HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q3-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Urine Out Foley t0: [19:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Art.pH t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Potassium t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [19:09:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: WBC t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: Hematocrit t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33.5 n1: 33.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 294 n1: 294 rs: Final st: NotStopd id: RBC t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.88 n1: 3.88 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [19:08:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 16.2 n1: 16.2 rs: Final st: NotStopd
id: Service Type t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Neuro Drain Drainage t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 46 n1: 46 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain el: 1 t0: [19:00:00 13/06/2017] tf: [05:00:00 14/06/2017] cu: CSRU dt: 600
id: Cerebral Drain L Ventricular Drain t0: [19:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Propofol el: 2 t0: [19:15:00 13/06/2017] tf: [06:00:00 14/06/2017] cu: CSRU dt: 645
id: Propofol t0: [19:15:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [19:15:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Arterial BP t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 41 n1: 41 u1: mmHg st: NotStopd
id: Nitroprusside t0: [20:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ventilator No. t0: [20:00:00 13/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Ectopy Frequency t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [20:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 13.3125 vu: ml id: Respalor t0: [20:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [20:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Communication t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LL Strength/Movement t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Status t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RU Strength/Movement t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Speech t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Urine Source t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [20:00:00 13/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 41.1765 n1: 41.1765 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 720 n1: 720 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: SIMV+PS st: NotStopd id: Ventilator Type t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Incision/Wound #1 t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Position Change t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Type t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Support Systems t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd
id: Pain Present t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 13/06/2017] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [19:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 0 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [20:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 0 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [21:00:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [21:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 14.25 vu: ml id: Respalor t0: [21:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [21:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [19:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Propofol t0: [20:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [21:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [21:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Intub Site t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: points st: NotStopd id: GCS Total t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI Intub #1/Site t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: Abdominal Assessment t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Motor Response t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Orientation t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP Mean t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: Pupil Size R/L t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Pattern t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Other/Remarks st: NotStopd id: Responds to Stimuli t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Verbal v2: Other/Remarks st: NotStopd id: Responds to Stimuli t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [22:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [22:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 14.25 vu: ml id: Respalor t0: [22:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [22:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Nitroprusside t0: [22:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Arterial BP t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 179 n1: 179 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:05:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: Nitroprusside t0: [22:05:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.561404 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: SpO2 t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [22:10:00 13/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: GI Intub #1/Site t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Level of Conscious t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Arterial BP t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 188 n1: 188 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Pattern t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Urine Source t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 13/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [23:00:00 13/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 15.8542 vu: ml id: Respalor t0: [23:00:00 13/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [23:00:00 13/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Nitroprusside t0: [23:00:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.631579 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 14.3478 n1: 14.3478 u1: ml/dl st: NotStopd id: Glucose t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: SaO2 t0: [23:13:00 13/06/2017] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 188 n1: 188 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Precautions t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:15:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd
id: Nitroprusside t0: [23:15:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.701754 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Arterial BP t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 185 n1: 185 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:20:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd
id: Nitroprusside t0: [23:20:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.77193 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Arterial BP t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:35:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:25:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd
id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [23:25:00 13/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 0 vu: ml st: Restart
id: Propofol t0: [23:25:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [23:35:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [23:25:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.77193 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [23:35:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.701754 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Communication t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: points st: NotStopd id: LL Strength/Movement t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Motor Response t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Lev/Loc t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Responds to Stimuli t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Skin Integrity t0: [20:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Speech t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Verbal Response t0: [23:00:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: D5W 100.0ml t0: [23:15:00 13/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:45:00 13/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [23:45:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [23:45:00 13/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.596491 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 741 n1: 741 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Posturing st: NotStopd id: Level of Conscious t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: N/A 100.0vl + 1000mcgkgmin Propofol el: 1 t0: [00:00:00 14/06/2017] tf: [06:00:00 14/06/2017] cu: CSRU dt: 360
id: .9% Normal Saline 1000.0ml t0: [00:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [00:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 13.3 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [00:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 19.25 vu: ml id: Respalor t0: [00:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [00:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Propofol t0: [00:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [00:15:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [00:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.596491 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [00:15:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.596491 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [01:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [01:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 17 vu: ml id: Respalor t0: [01:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml
id: Propofol t0: [01:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [01:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.596491 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [01:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:40:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:50:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [01:40:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [01:50:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [01:40:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.596491 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [01:50:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.350877 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:55:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [01:55:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [01:55:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.350877 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 14/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [02:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:05:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Nitroprusside t0: [02:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0.350877 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroprusside t0: [02:05:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Temp. Site t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [02:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [02:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 15.8333 vu: ml id: Respalor t0: [02:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [02:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Pain Present t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Intub Site t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Eye Opening t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GCS Total t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI Intub #1/Site t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Inc Dsg/Status #1 t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Transparent v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Level of Conscious t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Motor Response t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Orientation t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: Pupil Size R/L t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Responds to Stimuli t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Speech t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [02:00:00 14/06/2017] el: 1 cg: RN cu: CSRU v1: DONE
id: .9% Normal Saline 1000.0ml t0: [03:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [03:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [03:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0.833333 vu: ml id: Respalor t0: [03:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [03:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [03:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LL Strength/Movement t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Pupil Response R/L t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: SpO2 t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [04:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.61367 n1: 1.61367 u1: m2 st: NotStopd id: BSA - Metric t0: [04:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.87398 n1: 1.87398 u1: m2 st: NotStopd id: Verbal Response t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [04:05:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [04:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [04:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Respalor t0: [04:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [04:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [04:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 82.8 cv: 1812.02 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 82.8 cv: 2457.02 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU cv: 585 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 80 cv: 2125 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 2.8 cv: 263.017 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 2.8 cv: 5198.47 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 2.8 cv: 2.8 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU pv: 80 cv: 2194 ac: 24 ap: none re: 0
id: Art.pH t0: [04:12:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:12:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:12:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:12:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:12:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:12:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.8 n1: 19.8 rs: Final st: NotStopd id: WBC t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.8 n1: 19.8 rs: Final st: NotStopd id: Hematocrit t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 33.2 n1: 33.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 326 n1: 326 rs: Final st: NotStopd id: RBC t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19.8 n1: 19.8 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:5 st: NotStopd id: Airway Size t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 17.5 n1: 17.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 725 n1: 725 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:30:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HOB t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Reason For Restraint t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [05:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [05:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [05:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Respalor t0: [05:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml
id: Propofol t0: [05:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Urine Out Foley t0: [05:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Stool Out Fecal Bag t0: [05:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [05:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Stool Out Total t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: BUN t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 rs: Final st: NotStopd id: Calcium t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Magnesium t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Dilantin t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:23:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: D5W 100.0ml t0: [06:00:00 14/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [06:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Respalor t0: [06:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml
id: Pain Present t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Pain Assess Method t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventriculostomy v2: Left Side Head st: NotStopd id: Abdominal Assessment t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Incision/Wound #1 t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 0 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [06:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml st: Stopped id: Urine Out Foley t0: [06:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [06:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Service Type t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:30:00 14/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [07:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Respalor t0: [07:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [07:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Temp. Site t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd
id: Urine Color/Appear t0: [01:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd
id: Service Type t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol el: 2 t0: [08:00:00 14/06/2017] tf: [08:00:00 17/06/2017] cu: CSRU dt: 4320
id: Propofol t0: [08:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: INV Line#3 D/C Date t0: [08:00:00 14/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Type/Site t0: [08:00:00 14/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Zero/Cal t0: [08:00:00 14/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3InsertDate t0: [08:00:00 14/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3SiteAppear t0: [08:00:00 14/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#3 WaveformAppear t0: [08:00:00 14/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Compliance (40-60ml) t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 31.8182 n1: 31.8182 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 35.1 n1: 35.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 22.2 n1: 22.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Follows Commands t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: ICP t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Suture/Staples v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Incision/Wound #1 t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Responds to Stimuli t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [07:30:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 u1: mmHg st: NotStopd id: CPP t0: [08:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [08:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Respalor t0: [08:00:00 14/06/2017] el: 1 ai: 338 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [08:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Respalor t0: [09:00:00 14/06/2017] el: 1 ai: 338 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml el: 4 t0: [09:00:00 14/06/2017] tf: [21:30:00 16/06/2017] cu: CSRU dt: 3630 id: Cerebral Drain L Ventricular Drain el: 1 t0: [08:00:00 14/06/2017] tf: [12:00:00 14/06/2017] cu: CSRU dt: 240
id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [09:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [09:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [08:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Cerebral Drain L Ventricular Drain t0: [09:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Propofol t0: [09:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain t0: [10:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Propofol t0: [10:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: Incision/Wound #1 t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Responds to Stimuli t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Intubated/trach st: NotStopd id: Spontaneous Movement t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd id: CPP t0: [11:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 51 n1: 51 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [10:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [11:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [10:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [11:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 3 vu: ml
id: Propofol t0: [11:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: Incision/Wound #1 t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Level of Conscious t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Reason For Restraint t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [10:00:00 14/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [12:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Propofol t0: [12:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Dilantin t0: [11:21:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 5.7 n1: 5.7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 43.75 n1: 43.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 22.4 n1: 22.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 730 n1: 730 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:55:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Communication t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: ICP t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: ICP t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: Incision/Wound #1 t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LL Strength/Movement t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Status t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Drain Type t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Neuro Symptoms t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Brisk st: NotStopd id: Pupil Response R/L t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: Pupil Size R/L t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Responds to Stimuli t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Responds to Stimuli t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Speech t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Urine Source t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: CPP t0: [13:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: CPP t0: [14:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [13:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [14:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [14:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Cerebral Drain L Ventricular Drain t0: [12:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [13:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Propofol t0: [13:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Code Status t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [15:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [15:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Cerebral Drain L Ventricular Drain t0: [15:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Propofol t0: [15:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 1:6.5 st: NotStopd id: Airway Size t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 22.9 n1: 22.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Tidal Volume (Obser) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 736 n1: 736 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 14/06/2017] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: ICP t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: Incision/Wound #1 t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: CPP t0: [16:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: CPP t0: [17:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: Cerebral Drain L Ventricular Drain el: 1 t0: [17:00:00 14/06/2017] tf: [12:00:00 24/06/2017] cu: CSRU dt: 14100
id: D5W 100.0ml t0: [17:00:00 14/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [17:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Cerebral Drain L Ventricular Drain t0: [16:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Cerebral Drain L Ventricular Drain t0: [17:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 5 vu: ml
id: Propofol t0: [16:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Ionized Calcium t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd
id: CaO2 t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.929 n1: 13.929 u1: ml/dl st: NotStopd id: SaO2 t0: [17:50:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Range of Motion t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Heart Rate t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Incision/Wound #1 t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: TF Residual t0: [18:00:00 14/06/2017] el: 1 ai: 107 cg: RN cu: CSRU vo: 125 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [18:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Propofol t0: [18:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: WBC (4-11,000) t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd id: WBC t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd id: Hematocrit t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 32.5 n1: 32.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 307 n1: 307 rs: Final st: NotStopd id: RBC t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [17:52:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd
id: Temp. Site t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
id: Service Type t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [19:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [19:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Cerebral Drain L Ventricular Drain t0: [19:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Propofol t0: [19:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ICP t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CPP t0: [19:00:00 14/06/2017] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
id: Range of Motion t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [20:00:00 14/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [20:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Propofol t0: [20:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 20.2 n1: 20.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 708 n1: 708 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 14/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Vancomycin/Trough t0: [17:30:00 14/06/2017] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [21:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [21:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [21:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: ICP t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Activity t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Responds to Stimuli t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 rs: Manual st: NotStopd id: CPP t0: [21:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: CPP t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Cerebral Drain L Ventricular Drain t0: [22:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 16 vu: ml
id: Propofol t0: [22:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cerebral Drain Total t0: [23:00:00 14/06/2017] el: 3 cg: RN cu: CSRU cv: 69 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [23:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 14/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [23:00:00 14/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [22:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [23:00:00 14/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [23:00:00 14/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [22:00:00 14/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: CPP t0: [00:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [00:00:00 15/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [00:00:00 15/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [00:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: Cerebral Drain L Ventricular Drain t0: [00:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Propofol t0: [00:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 41.1765 n1: 41.1765 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 18.2 n1: 18.2 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 747 n1: 747 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Range of Motion t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: ICP t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Activity t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [01:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: CPP t0: [02:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd
id: N/A 100.0vl + 1000mcgkgmin Propofol el: 1 t0: [19:00:00 14/06/2017] tf: [15:00:00 16/06/2017] cu: CSRU dt: 2640
id: D5W 100.0ml t0: [00:00:00 15/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [00:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [01:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [02:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [19:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [20:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [21:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [22:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [23:00:00 14/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [02:00:00 15/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [01:00:00 15/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [02:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Cerebral Drain L Ventricular Drain t0: [02:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 11 vu: ml
id: Propofol t0: [01:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 15/06/2017] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0 id: Cerebral Drain Total t0: [23:00:00 15/06/2017] el: 3 cg: RN cu: CSRU pv: 12 cv: 133 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [03:00:00 15/06/2017] el: 1 cg: CoWkr cu: CSRU vo: 125 vu: ml
id: Total Hourly Output t0: [23:00:00 15/06/2017] el: 3 cg: RN cu: CSRU pv: 132 cv: 132 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/06/2017] el: 3 cg: RN cu: CSRU pv: 120 cv: 1830 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/06/2017] el: 3 cg: RN cu: CSRU pv: 132 cv: 1963 ac: 24 ap: none re: 0
id: Art.pH t0: [03:52:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:52:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:52:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:52:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:52:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:52:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 15/06/2017] el: 3 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Range of Motion t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: ICP t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Responds to Stimuli t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Skin Care t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [03:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: CPP t0: [04:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 15/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 15/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 15/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [20:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 14/06/2017] el: 3 ai: 107 cg: RN cu: CSRU vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [03:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [04:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [03:00:00 15/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml
id: Propofol t0: [03:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [04:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: WBC (4-11,000) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22.8 n1: 22.8 rs: Final st: NotStopd id: WBC t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22.8 n1: 22.8 rs: Final st: NotStopd id: Hematocrit t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 31.9 n1: 31.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 351 n1: 351 rs: Final st: NotStopd id: RBC t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 3.75 n1: 3.75 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 22.8 n1: 22.8 rs: Final st: NotStopd
id: BUN t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 51 n1: 51 rs: Final st: NotStopd id: Calcium t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 51 n1: 51 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Dilantin t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:45:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 38.8889 n1: 38.8889 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 17.1 n1: 17.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 732 n1: 732 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [05:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [05:00:00 15/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [04:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 19 vu: ml
id: Propofol t0: [05:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: MDI #1 (Puff/Drug) t0: [05:30:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Sputum Color/Consist t0: [05:30:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:30:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Range of Motion t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: ICP t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Activity t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Responds to Stimuli t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [05:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: CPP t0: [06:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 15/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [06:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [06:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Cerebral Drain L Ventricular Drain t0: [06:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 4 vu: ml
id: Propofol t0: [06:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NBP t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [07:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [07:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Gastric Meds t0: [06:00:00 15/06/2017] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [07:00:00 15/06/2017] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [07:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Propofol t0: [07:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: D5W 250.0ml + 50mcgkgmin Nitroprusside t0: [07:01:00 15/06/2017] el: 2 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Compliance (40-60ml) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 1:6.5 st: NotStopd id: Airway Size t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 18.5 n1: 18.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 719 n1: 719 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98.6667 n1: 98.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [08:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Communication t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 15/06/2017] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: Diet Type t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: ICP t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: LL Strength/Movement t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Posturing st: NotStopd id: LU Strength/Movement t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Level of Conscious t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Status t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Orientation t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pain Location t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pupil Response R/L t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Speech t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Source t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: CPP t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [08:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [08:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Range of Motion t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Cavity t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Support Systems t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Temp. Site t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
pi: 1312537 hi: 12801 t0: [10:00:00 15/06/2017] tf: [09:00:00 15/06/2017] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 06, 18 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 1312562 hi: 12801 t0: [10:00:00 15/06/2017] tf: [15:00:00 16/06/2017] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Range of Motion t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Incision/Wound #1 t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: NBP Mean t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 106.333 n1: 106.333 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Reason For Restraint t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [09:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [09:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [09:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [09:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: INV#2Chg o/Wire Date t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 102.333 n1: 102.333 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Status t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: SpO2 t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Therapeutic Bed t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd
id: Propofol t0: [10:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: NBP t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Neuro Drain Lev/Loc t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Arterial BP t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [10:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd
id: Propofol t0: [10:30:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: NBP t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [10:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [11:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Cerebral Drain L Ventricular Drain t0: [11:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Propofol t0: [11:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: NBP t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [11:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: Urine Out Foley t0: [11:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Propofol t0: [11:30:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [12:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [12:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [12:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Temp. Site t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Pain Present t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Circulation/SkinInt t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Communication t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 15/06/2017] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Motor Response t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [10:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RLL Lung Sounds t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Speech t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Sputum Color/Consist t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 87.5 n1: 87.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 1:6 st: NotStopd id: Airway Size t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 35.2 n1: 35.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 14.9 n1: 14.9 u1: L/min st: NotStopd id: PEEP Set t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 727 n1: 727 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:09:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: ICP t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: NBP t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Pain Location t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [13:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: CPP t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [13:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [14:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [14:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Cerebral Drain L Ventricular Drain t0: [14:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Propofol t0: [13:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP Mean t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [12:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [14:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [15:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [15:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Propofol t0: [15:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 1313796 hi: 12801 t0: [17:00:00 15/06/2017] tf: [18:00:00 15/06/2017] mn: Cisatracurium Besylate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 1313797 hi: 12801 t0: [17:00:00 15/06/2017] tf: [16:00:00 16/06/2017] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: NBP t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [16:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [16:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [16:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 108.333 n1: 108.333 u1: mmHg st: NotStopd id: Arterial BP t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [16:30:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd
id: Propofol t0: [16:35:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [16:35:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100.667 n1: 100.667 u1: mmHg st: NotStopd id: Arterial BP t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [16:40:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: Service Type t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Health Care Proxy t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Previous WeightF t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Procedures t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: PEG Inserted st: NotStopd id: Respiratory Rate t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:45:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: mmHg st: NotStopd id: CPP t0: [16:50:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 u1: mmHg st: NotStopd
id: Propofol t0: [16:45:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:50:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:40:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: CPP t0: [16:55:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd
id: Propofol t0: [16:55:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [16:30:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: CPP t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: TF Residual t0: [17:00:00 15/06/2017] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Propofol t0: [17:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Trach Insert Date t0: [17:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 15 n2: 15 st: NotStopd id: Cuff Leak t0: [17:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: Trach Cuff/Fenestra t0: [17:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [17:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [17:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [17:00:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Portex st: NotStopd
id: Trach Insert Date t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 15 n2: 15 st: NotStopd id: Compliance (40-60ml) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 63.6364 n1: 63.6364 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 35.2 n1: 35.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 17.2 n1: 17.2 u1: L/min st: NotStopd id: PEEP Set t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 698 n1: 698 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:15:00 15/06/2017] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: CaO2 t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 13.7314 n1: 13.7314 u1: ml/dl st: NotStopd id: Glucose t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Lactic Acid t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 151 n1: 151 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Ionized Calcium t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 1.17 n1: 1.17 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: SaO2 t0: [17:19:00 15/06/2017] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Inc Dsg/Status #1 t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Incision/Wound #1 t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Responds to Stimuli t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: Side Rails t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temp. Site t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Temperature F t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [17:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [18:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Stool Out Fecal Bag t0: [18:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Cerebral Drain L Ventricular Drain t0: [18:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Propofol t0: [18:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Stool Out Total t0: [23:00:00 15/06/2017] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: INV#2Chg o/Wire Date t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV#2Chg o/Wire Date t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Communication t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI Prophylaxis t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Care t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Site Date t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: LL Strength/Movement t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Neuro Drain Drainage t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Care t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Responds to Stimuli t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Skin Care t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Speech t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Therapeutic Bed t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [18:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: ETT Mark/Location t0: [18:00:00 15/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Position Change t0: [18:00:00 15/06/2017] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 1314162 hi: 12801 t0: [19:00:00 15/06/2017] tf: [18:00:00 16/06/2017] mn: Vecuronium Bromide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 1314163 hi: 12801 t0: [19:00:00 15/06/2017] tf: [18:00:00 16/06/2017] mn: Propofol (Generic) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: D5W 100.0ml t0: [16:00:00 15/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [18:00:00 15/06/2017] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: NBP t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 107.667 n1: 107.667 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [19:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd
id: Propofol t0: [19:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: Service Type t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Riker-SAS Scale t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 4 n2: 4 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 v2: 6 n2: 6 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: LL Strength/Movement t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100.667 n1: 100.667 u1: mmHg st: NotStopd id: Neuro Drain Drainage t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Neuro Symptoms t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Oral Cavity t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Pupil Response R/L t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Pinpoint v2: Pinpoint st: NotStopd id: RL Strength/Movement t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Responds to Stimuli t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Nail Bed v2: No Response st: NotStopd id: Restraint Location t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Spontaneous Movement t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Support Systems t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: CPP t0: [20:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [20:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 45.6 vu: ml id: Urine Out Foley t0: [20:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: Cerebral Drain L Ventricular Drain t0: [20:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Propofol t0: [20:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Compliance (40-60ml) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 53.8462 n1: 53.8462 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 18.7 n1: 18.7 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 698 n1: 698 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 15/06/2017] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 1314682 hi: 12801 t0: [22:00:00 15/06/2017] tf: [21:00:00 16/06/2017] mn: Mannitol pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Heart Rate t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [21:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [21:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [21:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [21:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Range of Motion t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Care t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Intub #1/Site t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: HOB t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ICP t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: mmHg st: NotStopd id: Activity t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Head st: NotStopd id: Level of Conscious t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Neuro Drain Drainage t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Neuro Drain Lev/Loc t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 5 cm v2: Tragus st: NotStopd id: Neuro Drain Status t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Open st: NotStopd id: Neuro Drain Type t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ventricular st: NotStopd id: Oral Care t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Position t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous WeightF t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 117.1 n1: 117.1 u1: kg st: NotStopd id: Reason For Restraint t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Side Rails Up st: NotStopd id: SpO2 t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: CPP t0: [22:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 15/06/2017] el: 4 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [22:00:00 15/06/2017] el: 1 ai: 110 cg: RN cu: CSRU vo: 22.8 vu: ml id: Urine Out Foley t0: [22:00:00 15/06/2017] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [22:00:00 15/06/2017] el: 2 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [23:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [23:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: NSICU st: NotStopd id: CVP t0: [23:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 15/06/2017] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [23