This log is also available as text (104cc.txt) and as a (binary) annotation file (104cc.log).
Generated: Thursday, 23-Apr-2009 00:34:44 EDT
(All dates below are surrogates.)
id: Cuff Pressure-Airway t0: [20:00:00 16/03/2015] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd
id: Service Type t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [00:00:00 17/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 15 vu: ml id: TF Residual t0: [06:00:00 17/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Free Water Bolus t0: [06:00:00 17/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 60 vu: ml id: ProBalance t0: [06:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 105 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [06:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4404444 hi: 17598 t0: [18:00:00 17/03/2015] tf: [15:00:00 18/03/2015] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 18, 0, 6, 12 dn: 4 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Spont) t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 682 n1: 682 u1: ml/B st: NotStopd id: Total PEEP Level t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:25:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [08:30:00 17/03/2015] el: 0 cg: CoWker cu: CCU v1: 173 n1: 173 rs: Manual st: NotStopd
id: INV#2Chg o/Wire Date t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Urine Source t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 17/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 45 vu: ml id: Free Water Bolus t0: [08:00:00 17/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 100 vu: ml id: ProBalance t0: [08:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 6 vu: ml
id: Fentanyl t0: [08:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 585 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [08:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Fentanyl t0: [08:05:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:05:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [08:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [09:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0.833333 vu: ml id: Urine Out Foley t0: [09:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0.25 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 883.083 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 2188.08 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 720 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 1280 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 908.083 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 14529.1 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/03/2015] el: 2 cg: RN cu: CCU cv: 1280 ac: 24 ap: none re: 0
id: Art.pH t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 170 n1: 170 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:37:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 16.3 n1: 16.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 721 n1: 721 u1: ml/B st: NotStopd id: Total PEEP Level t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 17/03/2015] el: 0 cg: CoWker cu: CCU v1: 179 n1: 179 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Education Handout t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Open v2: Other/Remarks st: NotStopd id: Inc Dsg/Status #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Nursing Consultation t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Enterostomal RN st: NotStopd id: Oral Care t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: To Bone st: NotStopd id: PressSore Depth #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sanguinous v2: Copious st: NotStopd id: PressSore Wth/Lth #1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: PressSoreWoundBase#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Radiologic Study t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Cooperative st: NotStopd id: Pt./Family Informed t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [10:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: ProBalance t0: [11:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: ProBalance t0: [12:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [09:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 170 vu: ml
id: Fentanyl t0: [12:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [13:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [13:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PNC's st: NotStopd id: Health Care Proxy t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [13:30:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:30:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: -13 n1: -13 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:46:00 17/03/2015] el: 0 cg: 1663 cu: CCU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: ETT Mark/Location t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Airway Size t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Type t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [14:00:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [14:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [14:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 0 vu: ml
id: Fentanyl t0: [14:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Trendelenberg st: NotStopd id: Heart Rate t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Therapeutic Bed t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [15:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [15:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Procedures t0: [15:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Line Placement st: NotStopd
id: Inc Cleansing #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc Closure/Appear#2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc Drainage/Amt #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc Dsg/Status #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Inc/Wound Packing #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd id: Incision/Wound #2 t0: [16:00:00 17/03/2015] el: 0 cg: -1 cu: CCU st: D/C'd
id: Compliance (40-60ml) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 15.2 n1: 15.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 561 n1: 561 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:15:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: Level of Conscious t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: To Bone st: NotStopd id: PressSore Depth #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressSoreWoundBase#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pressure Sore Odor#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 17/03/2015] el: 1 ai: 210 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 17/03/2015] el: 1 ai: 155 cg: RN cu: CCU vo: 30 vu: ml id: Free Water Bolus t0: [16:00:00 17/03/2015] el: 1 ai: 274 cg: RN cu: CCU vo: 100 vu: ml id: ProBalance t0: [16:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: ProBalance t0: [17:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [16:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 17/03/2015] el: 0 cg: CoWker cu: CCU v1: 150 n1: 150 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Heart Rate t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 17/03/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 17/03/2015] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: ProBalance t0: [18:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CCU vo: 3 vu: ml
id: Fentanyl t0: [17:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 17/03/2015] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 23cm v2: Lip st: NotStopd id: Airway Size t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Tank A psi. t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ventilator Type t0: [18:20:00 17/03/2015] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
ci: 36950 t0: [14:48:00 16/03/2015] cu: CCU de: CSRU dt: 5980
id: INV#2Chg o/Wire Date t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1 Zero/Cal t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: calprevflg t0: [19:00:00 17/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 17/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [19:00:00 17/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 17/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 17/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 17/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [19:00:00 17/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 17/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4407561 hi: 17598 t0: [21:00:00 17/03/2015] tf: [20:00:00 18/03/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: Incision/Wound #1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [20:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [20:00:00 17/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 55.5556 n1: 55.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2040 n1: 2040 st: NotStopd id: Tank B psi. t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2020 n1: 2020 st: NotStopd id: Ve High t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 526 n1: 526 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 17/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Significant Events t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:50:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:55:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 17/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [21:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 9.79167 vu: ml id: Urine Out Foley t0: [21:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 2.08333 vu: ml
id: Fentanyl t0: [20:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:50:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:55:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:50:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:55:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Zero/Cal t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Dsg Change t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Cap Change t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Tubing Change t0: [22:00:00 17/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: WBC (4-11,000) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd id: WBC t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd id: Hematocrit t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: RBC t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.92 n1: 2.92 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 rs: Final st: NotStopd
id: Service Type t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Airbed/Kinair st: NotStopd id: Back Care t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [22:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [21:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:45:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: NBP t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [20:45:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:30:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:30:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 D/C Date t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd
id: Calcium t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:19:00 17/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 17/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 17/03/2015] el: 1 ai: 155 cg: Rn cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [22:00:00 17/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml id: ProBalance t0: [23:00:00 17/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 17/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 17/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [23:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU pv: 23 cv: 1595.96 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU pv: 83 cv: 3360.96 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU cv: 745 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 17/03/2015] el: 3 cg: Rn cu: CSRU pv: 60 cv: 1020 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 696 n1: 696 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Total Hourly Output t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 1655 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 23 cv: 1705.96 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 23 cv: 15327 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 23 cv: 23 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/03/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 1655 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Open v2: Necrotic st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Arouse to Pain st: NotStopd id: Level of Conscious t0: [20:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Red, Unbroken v2: No st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [23:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 17/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [00:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [23:00:00 17/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 18/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [01:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: ProBalance t0: [02:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [01:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [02:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Free Water Bolus t0: [02:00:00 18/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 31.25 n1: 31.25 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24.6046 n1: 24.6046 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24.6046 n1: 24.6046 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.569 n1: 0.569 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 615 n1: 615 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Back Care t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [03:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: ProBalance t0: [04:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [03:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 rs: Final st: NotStopd id: WBC t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 rs: Final st: NotStopd id: Hematocrit t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: RBC t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.98 n1: 2.98 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 24.4 n1: 24.4 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [05:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [05:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: BUN t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Phosphorous t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:11:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd
id: Service Type t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [06:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [06:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [06:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 18/03/2015] 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: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 18/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 18/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: ProBalance t0: [07:00:00 18/03/2015] el: 1 ai: 216 cg: Rn cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 18/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 18/03/2015] el: 1 ai: 223 cg: Rn cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [07:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 18/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Closure/Appear#1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry v2: Changed st: NotStopd id: Incision/Wound #1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [07:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ProBalance t0: [08:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped
id: Eye Care t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: TF Residual t0: [08:00:00 18/03/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 180 vu: ml
id: Sputum Color/Consist t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: ETT Mark/Location t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [08:48:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Assistance Device t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [08:00:00 18/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [09:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [10:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
pi: 4409482 hi: 17598 t0: [12:00:00 18/03/2015] tf: [11:00:00 19/03/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4409485 hi: 17598 t0: [14:00:00 18/03/2015] tf: [12:00:00 19/03/2015] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4409486 hi: 17598 t0: [12:00:00 18/03/2015] tf: [03:00:00 25/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Venous CO2(Calc) t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Venous PvCO2 t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [11:21:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 u1: pH rs: Final st: NotStopd
id: ETT Mark/Location t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Ve High t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [11:37:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [11:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Skin Care t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [11:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml st: Restart id: ProBalance t0: [12:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 3 vu: ml
id: Fentanyl t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: GI#2 Tube PlaceCheck t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd
id: Service Type t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:15:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [12:15:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:15:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [13:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [13:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4409893 hi: 17598 t0: [14:00:00 18/03/2015] tf: [18:00:00 19/03/2015] mn: Tobramycin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 14 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:45:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:45:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Urine Out Foley t0: [14:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [14:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [12:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [13:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [14:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [14:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: MDI #1 (Puff/Drug) t0: [14:30:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Sputum Color/Consist t0: [14:30:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:30:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
pi: 4410521 hi: 17598 t0: [10:00:00 18/03/2015] tf: [09:00:00 20/03/2015] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Days xv: 36 xu: Hours pi: 4410522 hi: 17598 t0: [10:00:00 21/03/2015] tf: [09:00:00 23/03/2015] mn: PredniSONE pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Days xv: 36 xu: Hours pi: 4410523 hi: 17598 t0: [10:00:00 23/03/2015] tf: [09:00:00 25/03/2015] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 2 di: Doses xv: 36 xu: Hours pi: 4410524 hi: 17598 t0: [10:00:00 25/03/2015] tf: [09:00:00 26/03/2015] mn: PredniSONE pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [14:00:00 18/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [15:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Yes st: NotStopd id: PressSore Drng/Amt#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSoreCleansing#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressSoreWoundBase#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [14:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Skin Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Cooperative st: NotStopd id: Pt./Family Informed t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [15:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [16:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [16:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: ETT Mark/Location t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:45:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [17:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [17:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vo: 1.5 vu: ml st: Stopped id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 18/03/2015] el: 1 ai: 223 cg: RN cu: CSRU vu: ml
id: Fentanyl t0: [18:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Urine Out Foley t0: [18:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [19:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [19:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Potassium t0: [17:58:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:58:00 18/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: ETT Mark/Location t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 18/03/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 18/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [20:00:00 18/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [20:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: INV Line#2 Zero/Cal t0: [20:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 18/03/2015] 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 18/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [21:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 18/03/2015] 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: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 18/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 18/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [22:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU cv: 500 ac: 24 ap: none re: 0
id: ProBalance t0: [22:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vu: ml st: Restart
id: Service Type t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 18/03/2015] 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: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [23:00:00 18/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 18/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [23:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 15 cv: 1540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 2940 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 900 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [00:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [00:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [23:00:00 18/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [00:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 80 cv: 1220 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: -5 cv: 1720 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: -5 cv: 17047 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: -5 cv: -5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/03/2015] el: 3 cg: RN cu: CSRU pv: 80 cv: 1220 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Pressure Support t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 601 n1: 601 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: MDI #2 (Puff/Drug) t0: [00:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 18/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 19/03/2015] 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: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [01:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [01:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [02:00:00 19/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance t0: [02:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: HOB t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [21:00:00 18/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 19/03/2015] 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: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [03:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [03:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.3 n1: 29.3 rs: Final st: NotStopd id: WBC t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.3 n1: 29.3 rs: Final st: NotStopd id: Hematocrit t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.2 n1: 30.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 191 n1: 191 rs: Final st: NotStopd id: RBC t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.23 n1: 3.23 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.3 n1: 29.3 rs: Final st: NotStopd
id: PT t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: INR t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.8 n1: 29.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: PTT(22-35) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.8 n1: 29.8 rs: Final st: NotStopd
id: BUN t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:01:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [04:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [04:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Ionized Calcium t0: [03:19:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.24 n1: 1.24 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Circulation/SkinInt t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Alarms t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [02:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [04:00:00 19/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: RSBI (<100) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 54.8523 n1: 54.8523 u1: units st: NotStopd id: ETT Mark/Location t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 54.8523 n1: 54.8523 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.474 n1: 0.474 u1: L st: NotStopd id: Sputum Color/Consist t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 519 n1: 519 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:15:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [05:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [05:00:00 19/03/2015] el: 1 ai: 216 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Stool Out Stool t0: [06:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [06:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Fentanyl t0: [06:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 19/03/2015] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0
id: SpO2 t0: [05:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd
pi: 4412944 hi: 17598 t0: [07:00:00 19/03/2015] tf: [06:00:00 20/03/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4412945 hi: 17598 t0: [07:00:00 19/03/2015] tf: [06:00:00 20/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 19/03/2015] 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: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [07:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [07:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Incision/Wound #1 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Position Change t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pressure Sore Site#1 t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Reason For Restraint t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Pt./Family Informed t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 19/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [07:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 19/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: Free Water Bolus t0: [08:00:00 19/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Fentanyl t0: [08:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 17.8 n1: 17.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Waveform-Vent t0: [08:16:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: D5W 100.0ml t0: [08:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: .9% Normal Saline 1000.0ml t0: [08:30:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:30:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [08:30:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [09:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Fentanyl t0: [09:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [10:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Fentanyl t0: [10:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: MultiPodus Boot t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RLE
id: Service Type t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Granulating st: NotStopd id: Inc Drainage/Amt #1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Small st: NotStopd id: Inc Dsg/Status #1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [09:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Respiratory Rate t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: MultiPodus Boot t0: [11:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: LLE
id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Fentanyl t0: [11:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 19/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Procedures st: NotStopd id: Education Topic #2 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Arterial BP t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [12:00:00 19/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Fentanyl t0: [12:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4413793 hi: 17598 t0: [14:00:00 19/03/2015] tf: [01:00:00 06/04/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: FiO2 Set t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Waveform-Vent t0: [12:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 19/03/2015] 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: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [13:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [13:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Less Restrict Meas. t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [14:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [14:00:00 19/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [14:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Fentanyl t0: [15:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 19/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [15:00:00 19/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [16:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU cv: 540 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [16:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Service Type t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:05:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:10:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:05:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:10:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:15:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 19/03/2015] 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: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [13:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Yes st: NotStopd id: PressSore Drng/Amt#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSoreCleansing#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [17:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Potassium t0: [16:29:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:29:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: ETT Mark/Location t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Low Exhaled Min Vol t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Type t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: RSBI (<100) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40.3846 n1: 40.3846 u1: units st: NotStopd id: ETT Mark/Location t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: Airway Size t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: RSBI (<200) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 40.3846 n1: 40.3846 u1: units st: NotStopd id: Spon RR (Mech.) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [17:50:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.52 n1: 0.52 u1: L st: NotStopd id: Ventilator Type t0: [17:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 4415164 hi: 17598 t0: [19:00:00 19/03/2015] tf: [18:00:00 20/03/2015] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4415165 hi: 17598 t0: [19:00:00 19/03/2015] tf: [03:00:00 25/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4415166 hi: 17598 t0: [19:00:00 19/03/2015] tf: [18:00:00 20/03/2015] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 19/03/2015] 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: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 19/03/2015] el: 1 ai: 1109 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Fentanyl t0: [18:00:00 19/03/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 15 cv: 860 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 15 cv: 1700 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 100 cv: 2505 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: -85 cv: -805 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: -85 cv: 16242 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: -85 cv: -85 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU pv: 100 cv: 2505 ac: 24 ap: carryForward re: 0
id: HOB t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: MultiPodus Boot t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: RLE id: Fingerstick Glucose t0: [18:00:00 19/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd
id: Art.pH t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [18:55:00 19/03/2015] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: FiO2 Set t0: [19:37:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: Heart Rate t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Precautions t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 19/03/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:00:00 19/03/2015] el: 1 cg: RRT cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Extubated st: NotStopd id: Support Systems t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:40:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [21:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [19:40:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 19/03/2015] 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: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
io: TF Residual 10.0ml el: 1 cg: Rn cu: CSRU ra: 40 ru: ml/hr
id: Service Type t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 19/03/2015] el: 1 ai: 155 cg: Rn cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [21:00:00 19/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 19/03/2015] el: 1 ai: 1109 cg: Rn cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: bath t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU v1: done id: Diet Type t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: GI#2 Intub Site t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI Intub #2/Site t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Inc Closure/Appear#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Open v2: Clean and Dry st: NotStopd id: Inc Drainage/Amt #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Large st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Oral Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: PresSoreStage/Heal#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Through Fascia v2: No st: NotStopd id: PressSore Depth #1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 3 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Serous v2: Small st: NotStopd id: PressSoreCleansing#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Wound Cleanser st: NotStopd id: Pressure Sore Odor#1 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Negative st: NotStopd id: Respiratory Pattern t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Skin Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Color/Consist t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Brown v2: Formed st: NotStopd id: Stool Guaiac t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Negative st: NotStopd id: Therapeutic Bed t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Back Care t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd
id: Stool Out Stool t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 19/03/2015] el: 3 cg: Rn cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: MultiPodus Boot t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: RLE
id: Fingerstick Glucose t0: [00:00:00 20/03/2015] el: 0 cg: CoWker cu: CSRU v1: 78 n1: 78 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: Incision/Wound #1 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.1111 n1: 35.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 95.2 n1: 95.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 20/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [22:00:00 19/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual 40.0ml t0: [22:00:00 19/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vu: ml id: Urine Out Foley t0: [00:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [21:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [22:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 19/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
io: TF Residual 40.0ml el: 1 cg: Rn cu: CSRU ra: 10 ru: ml/hr
id: Service Type t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 20/03/2015] 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: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual 40.0ml t0: [00:00:00 20/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vo: 0 vu: ml nb: 1 id: TF Residual 40.0ml t0: [01:00:00 20/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: Fentanyl t0: [00:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [03:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual 40.0ml t0: [02:00:00 20/03/2015] el: 1 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [03:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 100 vu: ml
id: Service Type t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 20/03/2015] 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: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [04:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml
id: Service Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [03:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
io: ProBalance 40.0str el: 1 cg: Rn cu: CSRU ra: 20 ru: ml/hr
id: Pain Present t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Behavior t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [04:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 80 vu: ml
id: SpO2 t0: [00:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 19/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd
id: WBC (4-11,000) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: WBC t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Hematocrit t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 33.1 n1: 33.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 206 n1: 206 rs: Final st: NotStopd id: RBC t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.59 n1: 3.59 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd
id: Art.pH t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:24:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: BUN t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Calcium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Magnesium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: PT t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:15:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd
io: TF Residual 160.0ml el: 1 cg: Rn cu: CSRU ra: 40 ru: ml/hr io: TF Residual 60.0ml el: 1 cg: Rn cu: CSRU ra: 40 ru: ml/hr
id: Fingerstick Glucose t0: [06:00:00 20/03/2015] el: 0 cg: CoWker cu: CSRU v1: 76 n1: 76 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [05:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 10 vu: ml id: TF Residual t0: [06:00:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 20/03/2015] el: 1 ai: 155 cg: Rn cu: CSRU vo: 20 vu: ml id: Free Water Bolus t0: [06:00:00 20/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [05:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [06:00:00 20/03/2015] el: 1 cg: Rn cu: CSRU vo: 70 vu: ml
id: PO/Gastric In Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU cv: 640 ac: 24 ap: none re: 0
id: TF Residual t0: [06:15:00 20/03/2015] el: 2 ai: 416 cg: Rn cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:15:00 20/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 2.5 vu: ml
id: Service Type t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 20/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
io: TF Residual el: 2 cg: RN cu: CSRU ru: ml/hr
id: Pain Present t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 20/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 35.2222 n1: 35.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 95.4 n1: 95.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 20/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: ProBalance 40.0str t0: [08:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Fingerstick Glucose t0: [08:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 rs: Manual st: NotStopd
pi: 4417253 hi: 17598 t0: [14:00:00 20/03/2015] tf: [01:00:00 06/04/2015] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [09:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [10:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [12:00:00 20/03/2015] el: 0 cg: CoWker cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 20/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#2 Intub Site t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Incision/Wound #1 t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [11:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [11:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [11:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [12:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 390 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 70 cv: 1870 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 840 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1707 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 163 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 16405 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 20/03/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1707 ac: 24 ap: carryForward re: 0
id: Service Type t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: ProBalance 40.0str t0: [12:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 50 vu: ml id: ProBalance 40.0str t0: [13:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 50 vu: ml
id: INV#2Chg o/Wire Date t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Oral Care t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: INV#2 Cap Change t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [10:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [13:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Magnesium t0: [13:44:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [13:44:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [13:44:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:44:00 20/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
pi: 4418515 hi: 17598 t0: [17:00:00 20/03/2015] tf: [03:00:00 25/03/2015] mn: Meropenem pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 17, 1, 9 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 20/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#2 Intub Site t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Incision/Wound #1 t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Po Intake t0: [12:00:00 20/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 120 vu: ml id: Po Intake t0: [13:00:00 20/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Po Intake t0: [16:00:00 20/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: TF Residual t0: [16:00:00 20/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 360 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 20/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vu: ml id: Gastric Meds t0: [13:00:00 20/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vu: ml id: Gastric Meds t0: [14:00:00 20/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: Free Water Bolus t0: [14:00:00 20/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [14:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 50 vu: ml id: ProBalance 40.0str t0: [15:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 50 vu: ml id: ProBalance 40.0str t0: [16:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 20/03/2015] el: 1 ai: 1109 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 20/03/2015] el: 1 ai: 223 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [11:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Stool Out Stool t0: [15:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Stool Out Stool t0: [17:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: ProBalance 40.0str t0: [17:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: ProBalance 40.0str t0: [18:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Fingerstick Glucose t0: [18:00:00 20/03/2015] el: 0 cg: CoWker cu: CSRU v1: 152 n1: 152 rs: Manual st: NotStopd
id: Urine Out Foley t0: [18:00:00 20/03/2015] el: 1 cg: CoWker cu: CSRU vo: 117 vu: ml
id: D5W 100.0ml t0: [18:00:00 20/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Pain Present t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [20:00:00 20/03/2015] el: 1 cg: RN cu: CSRU v1: Done id: INV#2Chg o/Wire Date t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 20/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Incision/Wound #1 t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 20/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: Free Water Bolus t0: [20:00:00 20/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [20:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [20:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [20:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Precautions t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [21:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: ProBalance 40.0str t0: [22:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [21:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 20/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 20/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [23:00:00 20/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [23:00:00 20/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [00:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 21/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Pink st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSore Wth/Lth #1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 9 cm v2: 8 cm st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: Temp. Site t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 21/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [00:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [00:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: INV#2Chg o/Wire Date t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#3 Type/Site t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: NBP t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: INV#2 Cap Change t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 21/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [01:00:00 21/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [01:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [02:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [01:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [02:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: WBC (4-11,000) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 rs: Final st: NotStopd id: WBC t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 rs: Final st: NotStopd id: Hematocrit t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 228 n1: 228 rs: Final st: NotStopd id: RBC t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.52 n1: 3.52 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 26.3 n1: 26.3 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [03:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: BUN t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: Calcium t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Magnesium t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: PT t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: INR t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.6 n1: 29.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: PTT(22-35) t0: [01:57:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.6 n1: 29.6 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 21/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Orientation t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [04:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [04:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Art.pH t0: [03:55:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:55:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: -8 n1: -8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:55:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:55:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:55:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:55:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
pi: 4420482 hi: 17598 t0: [06:00:00 21/03/2015] tf: [03:00:00 25/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 21/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [05:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [05:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: NBP t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 21/03/2015] el: 2 ai: 107 cg: CoWker cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [06:00:00 21/03/2015] el: 1 ai: 3680 cg: CoWker cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 21/03/2015] el: 1 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Ectopy Frequency t0: [06:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: FiO2 Set t0: [06:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rhythm t0: [06:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: O2 Delivery Device#2 t0: [06:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) #2 t0: [06:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd
id: D5W 100.0ml t0: [06:00:00 21/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Meds t0: [06:00:00 21/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [06:00:00 21/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: HOB t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 1 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:30:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: Back st: NotStopd
id: Pain Present t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [08:00:00 21/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 240 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 21/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [08:00:00 21/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [08:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 0 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: PO/Gastric In Total t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU cv: 350 ac: 24 ap: none re: 0
id: Service Type t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [10:00:00 21/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fingerstick Glucose t0: [12:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Pain Type t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Arterial BP Mean t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: MultiPodus Boot t0: [08:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: on id: MultiPodus Boot t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: on id: Bowel Sounds t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [11:00:00 21/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [08:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Stool Out Stool t0: [12:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [11:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [12:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Out Total t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: estimateVol re: 0
id: Service Type t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [13:00:00 21/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [13:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: CVP t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [14:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 u1: mmHg v2: 178 n2: 178 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 181 n1: 181 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [15:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Magnesium t0: [14:46:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium t0: [14:46:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:46:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:46:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Temperature F t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: MultiPodus Boot t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: on id: Bowel Sounds t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [16:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [15:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Procedures t0: [16:00:00 21/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Procedures t0: [17:00:00 21/03/2015] el: 0 cg: RN cu: CSRU st: NotStopd
id: Service Type t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [17:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: ProBalance 40.0str t0: [18:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [17:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fingerstick Glucose t0: [18:00:00 21/03/2015] el: 0 cg: CoWker cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Urine Out Foley t0: [18:00:00 21/03/2015] el: 1 cg: CoWker cu: CSRU vo: 275 vu: ml
id: Radiologic Study t0: [13:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Service Type t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 21/03/2015] 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 21/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [19:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 21/03/2015] 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: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [20:00:00 21/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [20:00:00 21/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [20:00:00 21/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: ProBalance 40.0str t0: [20:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [20:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Art.pH t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.7688 n1: 14.7688 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [21:26:00 21/03/2015] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: bath t0: [23:00:00 21/03/2015] el: 1 cg: RN cu: CSRU v1: Done id: INV#2Chg o/Wire Date t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Dsg Change t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [21:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Rate t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Skin Care t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2 Cap Change t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#3 Cap Change t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 21/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: ProBalance 40.0str t0: [21:00:00 21/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: Urine Out Foley t0: [23:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: IV Infusion In Total t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 600 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 1850 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU cv: 900 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 1370 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Moderate st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: To Bone v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSore Wth/Lth #1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: MultiPodus Boot t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0n id: Fingerstick Glucose t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 22/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 22/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [00:00:00 22/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: ProBalance 40.0str t0: [00:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [01:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [02:00:00 22/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [02:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [01:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: SpO2 t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd
id: WBC (4-11,000) t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.4 n1: 27.4 rs: Final st: NotStopd id: WBC t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.4 n1: 27.4 rs: Final st: NotStopd id: Hematocrit t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 178 n1: 178 rs: Final st: NotStopd id: RBC t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.31 n1: 3.31 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 27.4 n1: 27.4 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Chest PT R/L t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [03:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Urine Out Foley t0: [03:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: PT t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: INR t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd
id: PTT t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 31.4 n1: 31.4 rs: Final st: NotStopd id: PTT(22-35) t0: [02:30:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 31.4 n1: 31.4 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [04:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [04:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [05:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [05:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Out Stool t0: [21:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Stool Out Stool t0: [23:00:00 21/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Total Hourly Output t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 120 ac: 1 ap: estimateVol re: 0 id: 24h Net Body Balance t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: -100 cv: 480 ac: 24 ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: -100 cv: 16885 ac: multiple days ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: -100 cv: -100 ac: 1 ap: estimateVol re: 0 id: 24h Total Out t0: [23:00:00 21/03/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 1370 ac: 24 ap: estimateVol re: 0
pi: 4423194 hi: 17598 t0: [07:00:00 22/03/2015] tf: [06:00:00 23/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Ectopy Frequency t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 21/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Fingerstick Glucose t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd
id: TF Residual t0: [06:00:00 22/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 90 vu: ml id: Gastric Meds t0: [06:00:00 22/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [06:00:00 22/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [07:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [06:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [07:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pain Present t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest PT R/L t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: MultiPodus Boot t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: on id: Bowel Sounds t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [08:00:00 22/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 22/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 120 vu: ml id: Free Water Bolus t0: [08:00:00 22/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [08:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 0 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: PO/Gastric In Total t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU cv: 1110 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 600 ac: 24 ap: none re: 0
id: Service Type t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4423571 hi: 17598 t0: [11:00:00 22/03/2015] tf: [10:00:00 23/03/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [10:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Chest PT R/L t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: HOB t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: MultiPodus Boot t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: on
id: Stool Out Stool t0: [10:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 22/03/2015] 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: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Parameters Checked t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [12:00:00 22/03/2015] 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: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [12:00:00 22/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [12:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 890 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: 70 cv: 2600 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 120 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 1920 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: -50 cv: 680 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: -50 cv: 17565 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: -50 cv: -50 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/03/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 1920 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [12:00:00 22/03/2015] el: 0 cg: CoWker cu: CSRU v1: 114 n1: 114 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Service Type t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Radiologic Study t0: [10:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Service Type t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Chest PT R/L t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Parameters Checked t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [13:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Green v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Support Systems t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pt./Family Informed t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: MultiPodus Boot t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: on id: Bowel Sounds t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [16:00:00 22/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: TF Residual t0: [16:00:00 22/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [14:00:00 22/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml
id: BUN t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Calcium t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd
id: Chloride t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Potassium t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:02:00 22/03/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
pi: 4424501 hi: 17598 t0: [17:00:00 22/03/2015] tf: [16:00:00 23/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4424502 hi: 17598 t0: [17:00:00 22/03/2015] tf: [16:00:00 23/03/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Out Foley t0: [15:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [18:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 85 vu: ml id: Urine Out Foley t0: [18:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Po Intake t0: [18:00:00 22/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 180 vu: ml id: D5W 100.0ml t0: [17:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
pi: 4424842 hi: 17598 t0: [21:00:00 22/03/2015] tf: [20:00:00 23/03/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 22/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 22/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [20:00:00 22/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [20:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Activity t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [21:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [21:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 22/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [22:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Fingerstick Glucose t0: [00:00:00 23/03/2015] el: 0 cg: CoWker cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: INV#2Chg o/Wire Date t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 23/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Arterial BP t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [20:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Urine Source t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 22/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Po Intake t0: [22:00:00 22/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [00:00:00 23/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 22/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 23/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: ProBalance 40.0str t0: [00:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: ProBalance 40.0str t0: [23:00:00 22/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [00:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [23:00:00 22/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: bath t0: [00:00:00 23/03/2015] el: 1 cg: RN cu: CSRU v1: Done id: Service Type t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest PT R/L t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: MultiPodus Boot t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: on
id: Po Intake t0: [01:00:00 23/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Po Intake t0: [03:00:00 23/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vu: ml st: Stopped id: D5W 100.0ml t0: [02:00:00 23/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: TF Residual t0: [03:00:00 23/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [03:00:00 23/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: ProBalance 40.0str t0: [03:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [02:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [03:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: WBC (4-11,000) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd id: WBC t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd id: Hematocrit t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: RBC t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.18 n1: 3.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd
pi: 4425433 hi: 17598 t0: [05:00:00 23/03/2015] tf: [04:00:00 24/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ASDIR dt: 3 di: Doses xv: 36 xu: Hours
id: BUN t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 rs: Final st: NotStopd id: Calcium t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Magnesium t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Inc Closure/Appear#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Open v2: Erythema st: NotStopd id: Inc Drainage/Amt #1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Moderate st: NotStopd id: Arterial BP t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: To Bone v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 3 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Large st: NotStopd id: PressSore Wth/Lth #1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreWoundBase#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Pressure Sore Odor#1 t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [02:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV#2Chg o/Wire Date t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 23/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: MultiPodus Boot t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: On id: Bowel Sounds t0: [04:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [04:00:00 23/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [04:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: ProBalance 40.0str t0: [04:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: ProBalance 40.0str t0: [05:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [04:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Stool Out Total t0: [23:00:00 23/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Po Intake t0: [05:00:00 23/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [05:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Differential-Bands t0: [02:59:00 23/03/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 23/03/2015] el: 0 cg: CoWker cu: CSRU v1: 114 n1: 114 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 23/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 23/03/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: ProBalance 40.0str t0: [06:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Service Type t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [07:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [07:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pain Present t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 23/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Assistance Device t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: MultiPodus Boot t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: On id: Bowel Sounds t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [08:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
pi: 4425804 hi: 17598 t0: [10:00:00 23/03/2015] tf: [09:00:00 24/03/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: D5W 100.0ml t0: [09:00:00 23/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: calprevflg t0: [09:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [08:00:00 23/03/2015] el: 2 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [09:00:00 23/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: Urine Out Foley t0: [09:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Tube Feeds In Total t0: [23:00:00 23/03/2015] el: 3 cg: RN cu: CSRU cv: 420 ac: 24 ap: none re: 0
pi: 4426023 hi: 17598 t0: [11:00:00 23/03/2015] tf: [10:00:00 24/03/2015] mn: Colchicine pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 23/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [11:00:00 23/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: PO/Gastric In Total t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU cv: 1260 ac: 24 ap: none re: 0
id: Pain Level t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 23/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Low Intermittent v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Left Leg st: NotStopd id: Pain Type t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 23/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 310 vu: ml
id: Fingerstick Glucose t0: [12:00:00 23/03/2015] el: 0 cg: CoWork cu: CSRU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Service Type t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [12:45:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [12:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Level (Rest) t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Location t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 260 vu: ml
pi: 4426660 hi: 17598 t0: [15:00:00 23/03/2015] tf: [14:00:00 24/03/2015] mn: Tobramycin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 15, 23, 7 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: HOB t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: MultiPodus Boot t0: [10:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: On id: MultiPodus Boot t0: [13:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: On
id: Chest PT R/L t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Eye Care t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: MultiPodus Boot t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: On
id: Free Water Bolus t0: [14:00:00 23/03/2015] el: 1 ai: 168 cg: RN cu: CSRU vo: 250 vu: ml
id: Service Type t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 23/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Urine Out Foley t0: [15:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Pain Present t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 23/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Low Intermittent v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: Heart Rate t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest PT R/L t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: MultiPodus Boot t0: [17:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: On id: Fingerstick Glucose t0: [18:00:00 23/03/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Po Intake t0: [15:00:00 23/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Po Intake t0: [18:00:00 23/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 23/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Urine Out Foley t0: [19:00:00 23/03/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Pain Present t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 23/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Clamped v2: Brown st: NotStopd id: GU Cath Insert Date t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 35.0556 n1: 35.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 95.1 n1: 95.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 23/03/2015] el: 1 cg: Rn cu: CSRU vo: 110 vu: ml
id: Service Type t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 23/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [21:00:00 23/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [21:00:00 23/03/2015] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml
id: Service Type t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 87 n1: 87 u1: % st: NotStopd id: calprevflg t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 23/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 23/03/2015] el: 1 cg: Rn cu: CSRU vo: 160 vu: ml
id: IV Infusion In Total t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: 10 cv: 690 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: 160 cv: 160 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: 160 cv: 2885 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: 160 cv: 2885 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [00:00:00 24/03/2015] el: 0 cg: CoWker cu: CSRU v1: 153 n1: 153 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Code Status t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Dsg/Status #1 t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Wet to Dry v2: Intact st: NotStopd id: Incision/Wound #1 t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Oral Care t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: MultiPodus Boot t0: [22:00:00 23/03/2015] el: 0 cg: Rn cu: CSRU v1: on id: Bowel Sounds t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 24/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU vo: 120 vu: ml
pi: 4427623 hi: 17598 t0: [02:00:00 24/03/2015] tf: [01:00:00 25/03/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU vo: 160 vu: ml
id: Service Type t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU vo: 450 vu: ml
id: D5W 100.0ml t0: [02:00:00 24/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml
id: WBC (4-11,000) t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 20.1 n1: 20.1 rs: Final st: NotStopd id: WBC t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 20.1 n1: 20.1 rs: Final st: NotStopd id: Hematocrit t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 30.3 n1: 30.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 159 n1: 159 rs: Final st: NotStopd id: RBC t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 3.24 n1: 3.24 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 20.1 n1: 20.1 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Education Handout t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: ? st: NotStopd id: HOB t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Tolerated Well st: NotStopd id: Incision/Wound #1 t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Oral Care t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU vo: 400 vu: ml
id: Chloride t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Potassium t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:01:00 24/03/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
pi: 4427783 hi: 17598 t0: [06:00:00 24/03/2015] tf: [03:00:00 25/03/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4427784 hi: 17598 t0: [06:00:00 24/03/2015] tf: [03:00:00 25/03/2015] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [02:00:00 24/03/2015] el: 3 ai: 416 cg: Rn cu: CSRU vo: 100 vu: ml id: Po Intake t0: [05:00:00 24/03/2015] el: 3 ai: 416 cg: Rn cu: CSRU vo: 250 vu: ml id: Po Intake t0: [22:00:00 23/03/2015] el: 3 ai: 416 cg: Rn cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [02:00:00 24/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vu: ml id: Free Water Bolus t0: [22:00:00 23/03/2015] el: 1 ai: 168 cg: Rn cu: CSRU vu: ml id: Urine Out Foley t0: [05:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU vo: 320 vu: ml
id: 24h Total In t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: 10 cv: 2370 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: -150 cv: -515 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: -150 cv: 17050 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/03/2015] el: 3 cg: Rn cu: CSRU pv: -150 cv: -150 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [06:00:00 24/03/2015] el: 0 cg: CoWker cu: CSRU v1: 155 n1: 155 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 24/03/2015] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 24/03/2015] el: 1 ai: 105 cg: Rn cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/03/2015] el: 2 ai: 107 cg: Rn cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 24/03/2015] el: 1 cg: Rn cu: CSRU vo: 280 vu: ml
id: Pain Present t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#2Chg o/Wire Date t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pain Assess Method t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 24/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Site Date t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PressSoreTreatment#1 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Bowel Sounds t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Service Type t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 24/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:00:00 24/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 360 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 1560 ac: 24 ap: none re: 0
id: Service Type t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Turn t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [11:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [11:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Stool Out Total t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 24/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Temp. Site t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
id: D5W 100.0ml t0: [10:00:00 24/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [12:00:00 24/03/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: IV Infusion In Total t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 690 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 2270 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 3075 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: -805 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 16245 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 3075 ac: 24 ap: carryForward re: 0
id: INV#2Chg o/Wire Date t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: House st: NotStopd id: Diet Type t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: GI#2 Intub Site t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressSore Drng/Amt#1 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: INV#2 Cap Change t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Fingerstick Glucose t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: INV Line#1 D/C Date t0: [14:00:00 24/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [14:00:00 24/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [14:00:00 24/03/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4429308 hi: 17598 t0: [00:00:00 25/03/2015] tf: [23:00:00 24/03/2015] mn: Tobramycin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
id: INV#2Chg o/Wire Date t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Service Type t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 D/C Date t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: INV Line#2 Site Date t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Changed st: NotStopd id: Incision/Wound #1 t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: Oral Care t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:45:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Po Intake t0: [13:00:00 24/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 360 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [14:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [14:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Pain Present t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 24/03/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Inc Drainage/Amt #1 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Inc Dsg/Status #1 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg v2: Intact st: NotStopd id: Incision/Wound #1 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Foot, Left st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSore Drng/Amt#1 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PressSoreTreatment#1 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#3 Cap Change t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Bowel Sounds t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [16:00:00 24/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vu: ml nb: 1 id: Urine Out Foley t0: [16:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Temp. Site t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd
id: Po Intake t0: [17:00:00 24/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 120 vu: ml id: Stool Out Stool t0: [16:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Service Type t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [17:00:00 24/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
pi: 4430460 hi: 17598 t0: [19:00:00 24/03/2015] tf: [23:00:00 07/04/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 24/03/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 24/03/2015] el: 3 ai: 416 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/03/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance 40.0str t0: [18:00:00 24/03/2015] el: 1 ai: 3680 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 24/03/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Tube Feeds In Total t0: [23:00:00 24/03/2015] el: 3 cg: RN cu: CSRU cv: 20 ac: 24 ap: none re: 0
ci: 37945 t0: [18:34:00 17/03/2015] cu: CSRU de: Regular ward dt: 10088
pi: 4431196 hi: 17598 t0: [23:00:00 24/03/2015] tf: [23:00:00 07/04/2015] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 23, 11 dn: 2 di: Ongoing xu: Enter on Label
pi: 4431319 hi: 17598 t0: [00:00:00 25/03/2015] tf: [14:00:00 27/03/2015] mn: Tobramycin pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 0, 12 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4431697 hi: 17598 t0: [04:00:00 25/03/2015] tf: [23:00:00 07/04/2015] mn: Meropenem pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 4, 10, 16, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4431900 hi: 17598 t0: [07:00:00 25/03/2015] tf: [07:00:00 28/03/2015] mn: HYDROmorphone (Dilaudid) pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4432339 hi: 17598 t0: [11:00:00 25/03/2015] tf: [10:00:00 26/03/2015] mn: Diazepam pt: Unit Dose st: Expired rt: PO fr: ONCE MR1 ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4433382 hi: 17598 t0: [17:00:00 25/03/2015] tf: [16:00:00 25/03/2015] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4433442 hi: 17598 t0: [10:00:00 25/03/2015] tf: [09:00:00 07/04/2015] mn: Colchicine pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4434628 hi: 17598 t0: [22:00:00 25/03/2015] tf: [07:00:00 26/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4434700 hi: 17598 t0: [23:00:00 25/03/2015] tf: [22:00:00 26/03/2015] mn: Insulin pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4435378 hi: 17598 t0: [05:00:00 26/03/2015] tf: [07:00:00 26/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4436483 hi: 17598 t0: [13:00:00 26/03/2015] tf: [12:00:00 27/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4436791 hi: 17598 t0: [15:00:00 26/03/2015] tf: [14:00:00 27/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4437300 hi: 17598 t0: [17:00:00 26/03/2015] tf: [12:00:00 28/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4437371 hi: 17598 t0: [10:00:00 26/03/2015] tf: [09:00:00 01/04/2015] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4437472 hi: 17598 t0: [18:00:00 26/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4437473 hi: 17598 t0: [22:00:00 26/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4437474 hi: 17598 t0: [08:00:00 26/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4437596 hi: 17598 t0: [18:00:00 26/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4437597 hi: 17598 t0: [22:00:00 26/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4437598 hi: 17598 t0: [08:00:00 26/03/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4438589 hi: 17598 t0: [01:00:00 27/03/2015] tf: [00:00:00 28/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4440773 hi: 17598 t0: [17:00:00 27/03/2015] tf: [12:00:00 28/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE MR1 ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4443000 hi: 17598 t0: [10:00:00 28/03/2015] tf: [12:00:00 28/03/2015] mn: HYDROmorphone (Dilaudid) pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4443451 hi: 17598 t0: [13:00:00 28/03/2015] tf: [09:00:00 29/03/2015] mn: Morphine SR (MS Contin) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 13, 1 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4443452 hi: 17598 t0: [13:00:00 28/03/2015] tf: [11:00:00 31/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4443838 hi: 17598 t0: [16:00:00 28/03/2015] tf: [15:00:00 29/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4445556 hi: 17598 t0: [13:00:00 29/03/2015] tf: [11:00:00 07/04/2015] mn: Morphine SR (MS Contin) pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 13, 1 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4445557 hi: 17598 t0: [10:00:00 29/03/2015] tf: [09:00:00 30/03/2015] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4445761 hi: 17598 t0: [10:00:00 29/03/2015] tf: [09:00:00 07/04/2015] mn: Allopurinol pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4447663 hi: 17598 t0: [07:00:00 30/03/2015] tf: [06:00:00 31/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4448554 hi: 17598 t0: [13:00:00 30/03/2015] tf: [12:00:00 31/03/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4451911 hi: 17598 t0: [08:00:00 31/03/2015] tf: [02:00:00 01/04/2015] mn: Insulin pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4451912 hi: 17598 t0: [22:00:00 31/03/2015] tf: [02:00:00 01/04/2015] mn: Insulin pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4451913 hi: 17598 t0: [08:00:00 31/03/2015] tf: [02:00:00 01/04/2015] mn: Insulin pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4452675 hi: 17598 t0: [12:00:00 31/03/2015] tf: [15:00:00 03/04/2015] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4452676 hi: 17598 t0: [12:00:00 31/03/2015] tf: [15:00:00 02/04/2015] mn: Morphin pt: Unit Dose st: Discontinued rt: PO fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4452822 hi: 17598 t0: [13:00:00 31/03/2015] tf: [02:00:00 01/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label
pi: 4454306 hi: 17598 t0: [18:00:00 31/03/2015] tf: [19:00:00 31/03/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Continuous at 250 ml/hr for 250 ml ir: 250 it: C ss: N dt: 1 di: Hours xu: Enter on Label
pi: 4455721 hi: 17598 t0: [03:00:00 01/04/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4455722 hi: 17598 t0: [22:00:00 01/04/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4455723 hi: 17598 t0: [08:00:00 01/04/2015] tf: [17:00:00 04/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4455922 hi: 17598 t0: [06:00:00 01/04/2015] tf: [19:00:00 01/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label
pi: 4456100 hi: 17598 t0: [08:00:00 01/04/2015] tf: [07:00:00 02/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 20 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4456390 hi: 17598 t0: [10:00:00 01/04/2015] tf: [17:00:00 03/04/2015] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4459363 hi: 17598 t0: [10:00:00 02/04/2015] tf: [11:00:00 07/04/2015] mn: Citalopram Hydrobromide pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4461019 hi: 17598 t0: [14:00:00 02/04/2015] tf: [13:00:00 03/04/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4464618 hi: 17598 t0: [13:00:00 03/04/2015] tf: [11:00:00 07/04/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4464619 hi: 17598 t0: [13:00:00 03/04/2015] tf: [13:00:00 06/04/2015] mn: TraMADOL (Ultram) pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4465090 hi: 17598 t0: [16:00:00 03/04/2015] tf: [13:00:00 06/04/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: BID:PRN di: Ongoing xv: 36 xu: Hours
pi: 4465667 hi: 17598 t0: [10:00:00 03/04/2015] tf: [06:00:00 06/04/2015] mn: PredniSONE pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4467986 hi: 17598 t0: [13:00:00 04/04/2015] tf: [09:00:00 05/04/2015] mn: Fluconazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 13 dn: 1 dt: 3 di: Days xv: 36 xu: Hours
pi: 4469235 hi: 17598 t0: [00:00:00 05/04/2015] tf: [12:00:00 05/04/2015] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 1 dn: 1 di: Ongoing xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 05/04/2015] el: 0 cg: LCP cu: LCP at MIT n1: 11
pi: 4469362 hi: 17598 t0: [03:00:00 05/04/2015] tf: [23:00:00 07/04/2015] mn: MetRONIDAZOLE (FLagyl) pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 3, 11, 19 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4469852 hi: 17598 t0: [09:00:00 05/04/2015] tf: [14:00:00 05/04/2015] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
pi: 4470341 hi: 17598 t0: [13:00:00 05/04/2015] tf: [14:00:00 05/04/2015] mn: Fluconazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 13 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Present t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Opening t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Orientation t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Cause t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Wound st: NotStopd id: Pain Level (Rest) t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Pain Type t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Throbbing st: NotStopd id: Assistance Device t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressSoreWoundBase#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: RLL Lung Sounds t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Integrity t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Source t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
pi: 4470555 hi: 17598 t0: [15:00:00 05/04/2015] tf: [19:00:00 06/04/2015] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr ir: 100 it: C ss: N di: Ongoing xu: Enter on Label pi: 4470557 hi: 17598 t0: [15:00:00 05/04/2015] tf: [23:00:00 07/04/2015] mn: Fluconazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 15 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4470558 hi: 17598 t0: [15:00:00 05/04/2015] tf: [11:00:00 07/04/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4470559 hi: 17598 t0: [20:00:00 05/04/2015] tf: [23:00:00 07/04/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours pi: 4470567 hi: 17598 t0: [15:00:00 05/04/2015] tf: [14:00:00 06/04/2015] mn: Gentamicin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: HOB t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Activity t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Cavity t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 cm v2: 6 cm st: NotStopd id: PressSoreCleansing#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: Therapeutic Bed t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [13:45:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Back Care t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: INV Line#3 Type/Site t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: PICC line v2: Right Upper Arm st: NotStopd
id: Service Type t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Respiratory Rate t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml nb: 1
id: Pre-Admission Intake t0: [14:00:00 05/04/2015] el: 1 ai: 160 cg: RN cu: CSRU vo: 2350 vu: ml id: Urine Out Foley t0: [10:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Pain Present t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: PICC line v2: Right Upper Arm st: NotStopd id: Abdominal Assessment t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Skin Care t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [15:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [15:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Alarms t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: NBP t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Precautions t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [16:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Pain Location t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [17:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
pi: 4471048 hi: 17598 t0: [18:00:00 05/04/2015] tf: [23:00:00 07/04/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Lactic Acid t0: [17:53:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:53:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Temp. Site t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: WBC (4-11,000) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: WBC t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: Hematocrit t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 31.5 n1: 31.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: RBC t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 3.48 n1: 3.48 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd
id: BUN t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 rs: Final st: NotStopd id: PT t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: Albumin t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Calcium t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 rs: Final st: NotStopd id: INR t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Magnesium t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 33.3 n1: 33.3 rs: Final st: NotStopd id: Phosphorous t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Total Bili t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 0.6 n1: 0.6 rs: Final st: NotStopd id: ALT t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Albumin (>3.2) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Amylase t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 33.3 n1: 33.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [17:32:00 05/04/2015] 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: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Pain Present t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest PT R/L t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: PICC line v2: Right Upper Arm st: NotStopd id: Abdominal Assessment t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: Unchanged st: NotStopd id: PressSore Depth #1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 cm v2: 6 cm st: NotStopd id: PressSoreCleansing#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Skin Care t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Source t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [19:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Fibrinogen t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 212 n1: 212 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 212 n1: 212 rs: Final st: NotStopd
id: Differential-Bands t0: [17:32:00 05/04/2015] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd
id: Service Type t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Parameters Checked t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Stool Out Stool t0: [21:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Foley t0: [21:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Stool Out Total t0: [23:00:00 05/04/2015] el: 3 cg: 3161 cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: PICC line v2: Right Upper Arm st: NotStopd id: Activity t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Service Type t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 05/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 05/04/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Total Hourly Output t0: [23:00:00 05/04/2015] el: 3 cg: 3161 cu: CSRU pv: 90 cv: 90 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/04/2015] el: 3 cg: RN cu: CSRU pv: 90 cv: 1045 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/04/2015] el: 3 cg: 3161 cu: CSRU cv: 150 ac: 24 ap: carryForward re: 0
id: Service Type t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Precautions t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [00:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Procedures t0: [00:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/04/2015] el: 3 cg: RN cu: CSRU pv: 500 cv: 2200 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/04/2015] el: 3 cg: RN cu: CSRU pv: 500 cv: 4550 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/04/2015] el: 3 cg: 3161 cu: CSRU pv: 410 cv: 3505 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 05/04/2015] el: 3 cg: 3161 cu: CSRU pv: 410 cv: 3505 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 05/04/2015] el: 3 cg: 3161 cu: CSRU pv: 410 cv: 410 ac: 1 ap: none re: 0
id: Pain Present t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#3 Type/Site t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PICC line v2: Right Upper Arm st: NotStopd id: Activity t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Skin Care t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Source t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [01:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4471920 hi: 17598 t0: [02:00:00 06/04/2015] tf: [18:00:00 06/04/2015] mn: Gentamicin pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 2, 10, 18 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml
id: INV#3Chg o/Wire Date t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 D/C Date t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Site Date t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Type/Site t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3 Zero/Cal t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3InsertDate t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#3SiteAppear t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#3 WaveformAppear t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#3 Dsg Change t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#3 Cap Change t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#3 Tubing Change t0: [02:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: WBC (4-11,000) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: WBC t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Platelets t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: WBC (4-11,000) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd
id: Hematocrit t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 10.6 n1: 10.6 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 3.39 n1: 3.39 u1: /mic l rs: Final st: NotStopd
id: Service Type t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: PT t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: Code Status t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fibrinogen t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 192 n1: 192 rs: Final st: NotStopd id: INR t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Temp. Site t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fibrinogen (150-400) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 192 n1: 192 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: PTT(22-35) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [03:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: BUN t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 rs: Final st: NotStopd id: Magnesium t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Total Bili t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 0.5 n1: 0.5 rs: Final st: NotStopd id: ALT t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Amylase t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [01:39:00 06/04/2015] 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: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Differential-Bands t0: [01:39:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSore Depth #1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Moderate st: NotStopd id: PressSore Wth/Lth #1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 cm v2: 6 cm st: NotStopd id: PressSoreCleansing#1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Stool Out Stool t0: [04:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [04:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Pain Present t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Side Rails t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Source t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [05:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Service Type t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [06:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
pi: 4472246 hi: 17598 t0: [07:00:00 06/04/2015] tf: [04:00:00 07/04/2015] mn: PredniSONE pt: Unit Dose st: Discontinued rt: PO fr: 1X ds: 7 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Alarms t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: NBP t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [07:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 22 n2: 22 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Significant Events t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Inc Closure/Appear#1 t0: [08:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Drainage/Amt #1 t0: [08:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inc Dsg/Status #1 t0: [08:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Incision/Wound #1 t0: [08:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Level t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Level/Response t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Level (Rest) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Location t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Abdominal st: NotStopd id: Pain Management t0: [08:00:00 06/04/2015] el: 1 cg: RN cu: CSRU v1: IV Push v2: Repositioned st: NotStopd id: Pain Type t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Pressure Sore Site#1 t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Temp. Site t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Untoward Effect t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [07:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 100.0ml t0: [08:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4472605 hi: 17598 t0: [11:00:00 06/04/2015] tf: [12:00:00 06/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Continuous at 500 ml/hr for 30 ml ir: 500 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Service Type t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#2 Intub Site t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #2/Site t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Significant Events t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:30:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [09:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pre-Admission Intake t0: [12:00:00 06/04/2015] el: 1 ai: 160 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Pain Present t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#2 Intub Site t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Guaiac/ph t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Positive v2: 6 n2: 6 st: NotStopd id: GI Intub #2/Site t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Activity t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [11:00:00 06/04/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 400 vu: ml id: Gastric Meds t0: [12:00:00 06/04/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 400 vu: ml id: Gastric Nasogastric t0: [11:00:00 06/04/2015] el: 2 cg: RN cu: CSRU vo: 350 vu: ml id: Stool Out Stool t0: [10:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Foley t0: [11:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [12:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Gastric Out Total t0: [23:00:00 06/04/2015] el: 3 cg: 3161 cu: CSRU cv: 950 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 1020.62 cv: 7932.42 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 1120.62 cv: 8862.42 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 06/04/2015] el: 3 cg: 3161 cu: CSRU cv: 830 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 15 cv: 1067 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 1105.62 cv: 6795.42 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 1105.62 cv: 10300.4 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 1105.62 cv: 1105.62 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 15 cv: 2067 ac: 24 ap: carryForward re: 0
id: Service Type t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [12:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Rate t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 200 vu: ml id: Stool Out Stool t0: [14:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [13:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [14:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Pain Present t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Pressure Sore Site#1 t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Skin Integrity t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Temp. Site t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [15:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 100.0ml t0: [16:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 06/04/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Nasogastric t0: [15:00:00 06/04/2015] el: 2 cg: RN cu: CSRU vo: 600 vu: ml id: Urine Out Foley t0: [15:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: In-Line Sx Change t0: [17:00:00 06/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fibrinogen t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 216 n1: 216 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 216 n1: 216 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: WBC t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 rs: Final st: NotStopd id: Hematocrit t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 29.1 n1: 29.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 3.17 n1: 3.17 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 rs: Final st: NotStopd
id: Gentamycin/Random t0: [14:15:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd
id: Platelets t0: [16:11:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: To Bone v2: Yes st: NotStopd id: PressSore Depth #1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 3 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Small st: NotStopd id: PressSore Wth/Lth #1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: PressSoreCleansing#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: PressSoreTreatment#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Therapeutic Bed t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [18:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [18:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4474465 hi: 17598 t0: [19:00:00 06/04/2015] tf: [14:00:00 07/04/2015] mn: Cosyntropin pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Significant Events t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
pi: 4474758 hi: 17598 t0: [20:00:00 06/04/2015] tf: [19:00:00 07/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4474880 hi: 17598 t0: [20:00:00 06/04/2015] tf: [19:00:00 07/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Pain Level t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2-Mild st: NotStopd id: Pain Present t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [19:30:00 06/04/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Alarms t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Education Response t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Cause t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Procedural st: NotStopd id: Pain Level (Rest) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 2-Mild st: NotStopd id: Pain Location t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Abdominal st: NotStopd id: Pain Type t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Urine Color/Appear t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Depressed st: NotStopd id: Bowel Sounds t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [19:30:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Ectopy Frequency t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:35:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [19:35:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: calprevflg t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:35:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: CVP t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: NBP Mean t0: [19:45:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd
id: Levophed-k io: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CSRU am: 8 du: mcgkgmin rt: IV Drip
pi: 4475064 hi: 17598 t0: [21:00:00 06/04/2015] tf: [23:00:00 07/04/2015] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: CVP t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Ectopy Type t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: calprevflg t0: [20:20:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:20:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: CVP t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Respiratory Rate t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 35.3333 n1: 35.3333 u1: Deg. C st: NotStopd id: calprevflg t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [21:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 22 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 06/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Levophed-k t0: [21:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
io: .9% Normal Saline 1000.0ml el: 3 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: NBP Alarm (Lo/Hi) t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd
id: WarmingDevice/Status t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Therapeutic Bed v2: On st: NotStopd
id: WarmingDevice/Status t0: [19:55:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Blanket v2: On st: NotStopd
id: Heart Rate t0: [21:05:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: NBP t0: [21:05:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [21:05:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 47 n1: 47 u1: mmHg st: NotStopd id: calprevflg t0: [21:05:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [21:05:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.05 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: HOB t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [21:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Back Care t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Levophed-k t0: [21:15:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.05 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: CVP t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: calprevflg t0: [21:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [21:30:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.05 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 06/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 6.79688 vu: ml
id: Levophed-k t0: [22:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.04 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4475319 hi: 17598 t0: [23:00:00 06/04/2015] tf: [22:00:00 07/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4475320 hi: 17598 t0: [23:00:00 06/04/2015] tf: [22:00:00 07/04/2015] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4475343 hi: 17598 t0: [23:00:00 06/04/2015] tf: [22:00:00 07/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4475344 hi: 17598 t0: [23:00:00 06/04/2015] tf: [14:00:00 07/04/2015] mn: Dexamethasone pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Glucose t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 rs: Final st: NotStopd id: Lactic Acid t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: SVR t0: [22:00:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 745.946 n1: 745.946 u1: ... st: NotStopd id: Glucose (70-105) t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 rs: Final st: NotStopd id: Ionized Calcium t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Mixed Venous O2 t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Mixed Venous O2% Sat t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 rs: Final st: NotStopd id: C.O. (fick) t0: [22:05:00 06/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42422 n1: 7.42422 u1: L/min st: NotStopd
id: D5W 100.0ml t0: [22:15:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: Ectopy Frequency t0: [22:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: calprevflg t0: [22:30:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [22:30:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.04 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Edema Location/Amt#1 t0: [19:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: PressSore Drng/Amt#1 t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Sanguinous v2: Small st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd
id: D5W 100.0ml t0: [22:00:00 06/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 06/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 5.625 vu: ml
id: Levophed-k t0: [23:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.04 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Parameters Checked t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: Albumin 25% t0: [00:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Albumin 25% t0: [23:00:00 06/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 100 vu: ml uu: Units id: Urine Out Foley t0: [00:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 5.625 vu: ml
id: Levophed-k t0: [00:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.04 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Colloids Total t0: [23:00:00 06/04/2015] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 24 ap: none re: 0 id: Colloids Total t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: D5W 100.0ml t0: [01:00:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 5.625 vu: ml
id: Neosynephrine-k io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k el: 300 cg: RN cu: CSRU am: 60 du: mcgkgmin rt: IV Drip
pi: 4475779 hi: 17598 t0: [03:00:00 07/04/2015] tf: [14:00:00 07/04/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE MR1 ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: Education Barrier t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Education Response t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Cavity t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Through Fascia v2: No st: NotStopd id: PressSore Depth #1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 3 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Serous v2: Moderate st: NotStopd id: PressSore Wth/Lth #1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 9 cm v2: 9 cm st: NotStopd id: PressSoreCleansing#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Wound Cleanser st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: PressSoreWoundBase#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: % st: NotStopd id: Stool Color/Consist t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Color/Consist t0: [21:00:00 06/04/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Support Systems t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Therapeutic Bed t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [02:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Stool Out Stool t0: [21:00:00 06/04/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [02:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 5.625 vu: ml
id: Levophed-k t0: [01:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.04 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.04 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: FiO2 Set t0: [01:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: O2 Delivery Device t0: [01:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: O2 Flow (lpm) t0: [01:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [01:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: % st: NotStopd
id: O2 Delivery Device t0: [02:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: O2 Flow (lpm) t0: [02:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [02:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd
id: Sputum Color/Consist t0: [02:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Service Type t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Significant Events t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Intubated st: NotStopd id: SpO2 t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [02:45:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.05 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:50:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.07 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 24.3 n1: 24.3 rs: Final st: NotStopd id: WBC t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 24.3 n1: 24.3 rs: Final st: NotStopd id: Hematocrit t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 27.7 n1: 27.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2.94 n1: 2.94 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 24.3 n1: 24.3 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [03:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Neosynephrine-k t0: [03:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.00267 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: O2 Delivery Device t0: [03:00:00 07/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) t0: [03:00:00 07/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4475892 hi: 17598 t0: [04:00:00 07/04/2015] tf: [14:00:00 07/04/2015] mn: Succinylcholine pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4475893 hi: 17598 t0: [04:00:00 07/04/2015] tf: [14:00:00 07/04/2015] mn: Etomidate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4475894 hi: 17598 t0: [04:00:00 07/04/2015] tf: [10:00:00 08/04/2015] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued via patient discharge rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4475895 hi: 17598 t0: [04:00:00 07/04/2015] tf: [10:00:00 08/04/2015] mn: Midazolam HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4475896 hi: 17598 t0: [04:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Sodium Bicarbonate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Ectopy Type t0: [03:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [03:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [03:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [03:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: NBP Mean t0: [03:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: calprevflg t0: [03:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Platelets t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd
id: D5W 100.0ml t0: [02:30:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 6.79688 vu: ml
id: Fibrinogen t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 188 n1: 188 rs: Final st: NotStopd id: PTT t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 43.8 n1: 43.8 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 188 n1: 188 rs: Final st: NotStopd id: PTT(22-35) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 43.8 n1: 43.8 rs: Final st: NotStopd
id: PT t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: INR t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd
id: BUN t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: Magnesium t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: Total Bili t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: BUN (6-20) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:38:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: Procedures t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Levophed-k t0: [03:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.150044 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Art.pH t0: [03:33:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:33:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: -20 n1: -20 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:33:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:33:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:33:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:33:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 27.7778 n1: 27.7778 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [03:50:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 23cm st: NotStopd id: FiO2 Set t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Low Exhaled Min Vol t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:45:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CSRU am: 50 du: mghr rt: IV Drip
io: Carrier el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 1 cg: RN cu: CSRU ra: 2.5 ru: ml/hr io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 1 cg: RN cu: CSRU ra: 2 ru: ml/hr
pi: 4475961 hi: 17598 t0: [05:00:00 07/04/2015] tf: [09:00:00 07/04/2015] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 5, 11, 17, 23 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4475983 hi: 17598 t0: [05:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Phenylephrine HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4475984 hi: 17598 t0: [05:00:00 07/04/2015] tf: [04:00:00 08/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 2000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4475985 hi: 17598 t0: [05:00:00 07/04/2015] tf: [14:00:00 07/04/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: NBP t0: [03:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [03:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP t0: [03:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd
id: Neosynephrine-k t0: [03:45:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: Education Barrier t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Learner t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: GI#2 Intub Site t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: GI Intub #2/Site t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Paralytic Med st: NotStopd id: NBP t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Assistance Device t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [01:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 35.1667 n1: 35.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95.3 n1: 95.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: WarmingDevice/Status t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Therapeutic Bed v2: On st: NotStopd id: calprevflg t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: Carrier t0: [04:00:00 07/04/2015] el: 1 ai: 111 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [04:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 21.1313 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [04:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 21.1 vu: ml
id: Fentanyl t0: [04:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Significant Events t0: [02:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Significant Events t0: [03:01:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [03:00:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: Art.pH t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: -17 n1: -17 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Ionized Calcium t0: [04:40:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 32.5 n1: 32.5 u1: ml/cmH st: NotStopd id: Mean Airway Pressure t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 13.5 n1: 13.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd
id: RSBI Not Completed t0: [04:00:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Hemodyn Instabil st: NotStopd
pi: 4475992 hi: 17598 t0: [06:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Dextrose 50% pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4476044 hi: 17598 t0: [06:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: Q6H ds: 6, 12, 18, 0 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4476045 hi: 17598 t0: [06:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q6H ds: 6, 12, 18, 0 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4476046 hi: 17598 t0: [06:00:00 07/04/2015] tf: [12:00:00 07/04/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 150 ml/hr for 1000 ml ir: 150 it: C ss: N dt: 6 di: Hours xu: Enter on Label
id: Service Type t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: HOB t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Oral Care t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 07/04/2015] 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: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [05:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [05:00:00 07/04/2015] el: 1 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [05:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 28.125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [05:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 0 vu: ml
id: Fentanyl t0: [05:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [05:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [05:35:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd
id: Art.pH t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.16 n1: 7.16 rs: Final st: NotStopd id: Lactic Acid t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: -15 n1: -15 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 240 n1: 240 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.16 n1: 7.16 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [05:32:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: Sodium Bicarbonate io: D5W 1000.0ml el: 100 cg: RN cu: CSRU am: 150 du: mEq rt: Intravenous Push
io: D5W 1000.0ml el: 1 cg: RN cu: CSRU ra: 150 ru: ml/hr
id: Service Type t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Carrier t0: [06:00:00 07/04/2015] el: 1 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [06:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 28.125 vu: ml id: Drain Out #1 Other t0: [06:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [06:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 07/04/2015] el: 1 ai: 210 cg: RN cu: CSRU vo: 0 vu: ml
id: Fentanyl t0: [06:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [06:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Drain #1 Total Out t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 2700 ac: 24 ap: none re: 0
id: Rec. Breath Pressure t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 35 n1: 35 st: NotStopd id: Rec.Breath Time(sec) t0: [04:48:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 30 n1: 30 st: NotStopd
id: CVP t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Respiratory Rate t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [06:25:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [04:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:30:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [05:30:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [06:30:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 07/04/2015] el: 1 ai: 210 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Art.pH t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.17 n1: 7.17 rs: Final st: NotStopd id: Glucose t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Arterial Base Excess t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: -15 n1: -15 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.17 n1: 7.17 rs: Final st: NotStopd id: Glucose (70-105) t0: [07:08:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [07:00:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: GI#2 Intub Site t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Eye Opening t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #2/Site t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: Heart Rate t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: Abdominal Assessment t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: LLL Lung Sounds t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: NBP t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Oral Cavity t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Pressure Sore Site#1 t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: Temperature C (calc) t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 35.0556 n1: 35.0556 u1: Deg. C st: NotStopd id: Urine Color/Appear t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1.43707 n1: 1.43707 u1: m2 st: NotStopd id: BSA - Metric t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1.67308 n1: 1.67308 u1: m2 st: NotStopd id: Verbal Response t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Daily Weight t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Behavior t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Braden Activity t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Carrier t0: [07:00:00 07/04/2015] el: 1 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [07:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 87.5 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [07:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 28.125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [07:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [07:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV Line#1 Zero/Cal t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#1 WaveformAppear t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 Dsg Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Cap Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd
id: Carrier t0: [08:00:00 07/04/2015] el: 1 ai: 111 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [08:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 07/04/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 1000.0ml t0: [08:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [08:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 28.125 vu: ml id: Free Water Bolus t0: [08:00:00 07/04/2015] el: 1 ai: 274 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [08:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [08:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [08:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0
id: WarmingDevice/Status t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bair Hugger v2: On st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 32.5 n1: 32.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 23cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 651 n1: 651 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: Health Care Proxy t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: HOB t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PresSoreStage/Heal#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: To Bone v2: No st: NotStopd id: PressSore Depth #1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 3 cm st: NotStopd id: PressSore Drng/Amt#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Serous v2: Moderate st: NotStopd id: PressSore Wth/Lth #1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 9 cm v2: 9 cm st: NotStopd id: PressSoreCleansing#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Wet to Dry st: NotStopd id: PressSoreWoundBase#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Pressure Sore Odor#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Pressure Sore Site#1 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temp. Site t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 35.0556 n1: 35.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95.1 n1: 95.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [09:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [09:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 28.125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [09:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [09:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [09:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Airway Size t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd
pi: 4476737 hi: 17598 t0: [11:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Vancomycin Oral Liquid pt: Unit Dose st: Discontinued rt: PO fr: Q6H ds: 11, 17, 23, 5 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [10:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [10:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 28.125 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [10:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [10:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Glucose t0: [10:00:00 07/04/2015] el: 0 cg: Co-wor cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd id: Glucose (70-105) t0: [10:00:00 07/04/2015] el: 0 cg: Co-wor cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd
id: Art.pH t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd id: CaO2 t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 12.2001 n1: 12.2001 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: -14 n1: -14 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 123 n1: 123 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd id: SaO2 t0: [10:07:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [10:05:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Lidocaine io: D5W 500.0ml + 2mgmin Lidocaine el: 100 cg: RN cu: CSRU am: 2 du: mgmin rt: IV Drip
pi: 4476965 hi: 17598 t0: [12:00:00 07/04/2015] tf: [14:00:00 07/04/2015] mn: Lidocaine pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4476966 hi: 17598 t0: [12:00:00 07/04/2015] tf: [12:00:00 07/04/2015] mn: Lidocaine pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [11:00:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: GI#2 Intub Site t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Eye Opening t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #2/Site t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Brown st: NotStopd id: Heart Rate t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Imp Skin Cleanse #1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Purulent v2: Small st: NotStopd id: ImpSkin Drain/Amt#2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wound Base#2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wound Base#3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 cm v2: 4 cm st: NotStopd id: ImpSkin Wth/Lth #3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 cm v2: 4 cm st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Elbow, Right st: NotStopd id: Impaired Skin Site#2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Heel, Right st: NotStopd id: Impaired Skin Site#3 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressSoreTreatment#1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Pressure Sore Site#1 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#2 Cap Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 35.4444 n1: 35.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 95.8 n1: 95.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [11:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [11:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 31.875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [11:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [11:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: WarmingDevice/Status t0: [11:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bair Hugger v2: On st: NotStopd
id: Service Type t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Alarms t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Vent. Tachy st: NotStopd id: Heart Rhythm t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Previous Weight t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous Weight t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:10:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:20:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:25:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:35:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:40:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:50:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:10:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:15:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:20:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:25:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:35:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:40:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:45:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:50:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:10:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:15:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:20:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:25:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:35:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:40:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:45:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:50:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:05:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:10:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:15:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:20:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:25:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:30:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:35:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:40:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:45:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:50:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [11:55:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:05:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [11:40:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [11:45:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [11:50:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Lidocaine t0: [11:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [12:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [12:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 200 cg: RN cu: CSRU am: 600 du: mgmin rt: IV Drip
io: D5W 250.0ml + 600mgmin Amiodarone el: 2 cg: RN cu: CSRU ra: 0 ru: ml/hr
pi: 4477084 hi: 17598 t0: [13:00:00 07/04/2015] tf: [14:00:00 07/04/2015] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4477085 hi: 17598 t0: [13:00:00 07/04/2015] tf: [22:00:00 07/04/2015] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xu: Enter on Label pi: 4477086 hi: 17598 t0: [13:00:00 07/04/2015] tf: [22:00:00 07/04/2015] mn: Lidocaine pt: IV Piggyback st: Discontinued rt: IV fr: INFUSION di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: CVP t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Riker-SAS Scale t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:05:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: Ectopy Frequency t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Pain Location t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Temp. Site t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [12:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [12:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 31.875 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Compliance (40-60ml) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 34.6667 n1: 34.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 625 n1: 625 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: D5W 100.0ml t0: [09:00:00 07/04/2015] el: 1 ai: 105 cg: RRT cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [12:00:00 07/04/2015] el: 1 ai: 105 cg: RRT cu: CSRU vo: 100 vu: ml
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/04/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [12:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: MDI #1 (Puff/Drug) t0: [12:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Amiodarone t0: [12:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: mmHg st: NotStopd id: Code Status t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [12:55:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [12:55:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 1.7 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [12:55:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/04/2015] el: 2 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 1000.0ml t0: [13:00:00 07/04/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 07/04/2015] el: 2 ai: 304 cg: RN cu: CSRU vu: ml nb: 1 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [13:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 31.875 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [13:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [13:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [13:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [13:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Service Type t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:55:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [13:05:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:05:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [13:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 20.7 n1: 20.7 rs: Final st: NotStopd id: WBC t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 20.7 n1: 20.7 rs: Final st: NotStopd id: Hemoglobin t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 60 n1: 60 rs: Final st: NotStopd id: RBC t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 2.66 n1: 2.66 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 20.7 n1: 20.7 rs: Final st: NotStopd
id: Service Type t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Health Care Proxy t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Previous WeightF t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:15:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [13:15:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:30:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:15:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:15:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:15:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [13:30:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [13:15:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip id: Lidocaine t0: [13:30:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: BUN t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: Phosphorous t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [14:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 39.375 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [14:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [14:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [14:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [14:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [14:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
pi: 4477487 hi: 17598 t0: [15:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4477507 hi: 17598 t0: [15:00:00 07/04/2015] tf: [23:00:00 07/04/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd id: Fibrinogen t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 169 n1: 169 rs: Final st: NotStopd id: INR t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 45.3 n1: 45.3 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 169 n1: 169 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 15.6 n1: 15.6 rs: Final st: NotStopd id: PTT(22-35) t0: [12:53:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: 45.3 n1: 45.3 rs: Final st: NotStopd
id: Temp. Site t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd
id: Blood Products t0: [14:23:00 07/04/2015] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Drain Out #1 Other t0: [15:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 1400 vu: ml
id: Less Restrict Meas. t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [15:00:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: General v2: Anasarca st: NotStopd id: Education Barrier t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Handout t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Learner t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Method t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Readiness t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Education Response t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Response t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Family Conferenc st: NotStopd id: GCS Total t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #2/Site t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ascites st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Character #3 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt #3 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Dry Sterile Dsg st: NotStopd id: ImpSkin Treatment #3 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Red/Purple st: NotStopd id: ImpSkin Wound Base#3 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 cm v2: 4 cm st: NotStopd id: ImpSkin Wth/Lth #3 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 cm v2: 4 cm st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Elbow, Right st: NotStopd id: Impaired Skin Site#2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Heel, Right st: NotStopd id: Impaired Skin Site#3 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Heel, Left st: NotStopd id: LLL Lung Sounds t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Pain Location t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Position t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Pressure Sore Site#1 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 29 n2: 29 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 28 n2: 28 st: NotStopd id: Temp. Site t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: WarmingDevice/Status t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bair Hugger v2: On st: NotStopd id: calprevflg t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [13:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Absent st: NotStopd id: Braden Activity t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [15:00:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [15:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 43.125 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [15:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [15:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [15:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [15:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [15:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Service Type t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Risk for Falls t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [16:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 52.5 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [16:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [16:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [16:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [16:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [16:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Code Status t0: [15:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd
id: Respiratory Rate t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd
id: Eye Care t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: WarmingDevice/Status t0: [16:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bair Hugger v2: On st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 34.6667 n1: 34.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 1:1.7 st: NotStopd id: Airway Size t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 658 n1: 658 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 07/04/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [17:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 52.5 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [17:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [17:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [17:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 2.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [17:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: D5W 100.0ml t0: [17:00:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [12:00:00 07/04/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [17:00:00 07/04/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [12:00:00 07/04/2015] el: 1 ai: 274 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [17:00:00 07/04/2015] el: 1 ai: 274 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: HOB t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: WarmingDevice/Status t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Bair Hugger v2: Off st: NotStopd id: calprevflg t0: [18:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [18:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 52.5 vu: ml id: Drain Out #1 Other t0: [18:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [18:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Gastric Nasogastric t0: [18:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [18:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [18:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [18:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 3.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [18:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Gastric Out Total t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 200 ac: 24 ap: none re: 0
id: Service Type t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:05:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [18:05:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [18:05:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 3.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [18:05:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: D5W 100.0ml t0: [18:00:00 07/04/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Heart Rate t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: Arterial BP t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [19:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [19:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [19:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [19:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Neosynephrine-k t0: [19:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 3.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [19:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 349 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 3249 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 43.3333 n1: 43.3333 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 1 n1: 1 v2: 30 n2: 30 st: NotStopd id: Low Exhaled Min Vol t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: MDI #2 (Puff/Drug) t0: [19:10:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: Pain Present t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#2 Intub Site t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable st: NotStopd id: Eye Opening t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Low Cont Suction v2: Bilious st: NotStopd id: HOB t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Orientation t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 07/04/2015] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 07/04/2015] el: 3 ai: 111 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [20:00:00 07/04/2015] el: 3 ai: 199 cg: RN cu: CSRU vo: 63.75 vu: ml id: D5W 500.0ml + 2mgmin Lidocaine t0: [20:00:00 07/04/2015] el: 1 ai: 314 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 07/04/2015] el: 1 ai: 416 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 07/04/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 2 vu: ml
id: Amiodarone t0: [20:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lidocaine t0: [20:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 5338.53 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 5618.53 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 2369.53 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 12670 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/04/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0
id: ETT Mark/Location t0: [20:00:00 07/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [20:00:00 07/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [20:00:00 07/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [20:00:00 07/04/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4478834 hi: 17598 t0: [21:00:00 07/04/2015] tf: [10:00:00 08/04/2015] mn: Morphine Sulfate pt: IV Piggyback st: Discontinued via patient discharge rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: FiO2 Set t0: [20:32:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Flow (lpm) t0: [20:32:00 07/04/2015] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: lpm st: NotStopd
id: Morphine Sulfate io: D5W 100.0ml + 100mghr Morphine Sulfate el: 100 cg: RN cu: CSRU am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Morphine Sulfate el: 1 cg: RN cu: CSRU ra: 9 ru: ml/hr
id: Code Status t0: [20:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Comfort Measures st: NotStopd id: Precautions t0: [21:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd
id: Morphine Sulfate t0: [21:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [22:00:00 07/04/2015] el: 0 cg: RN cu: CSRU v1: Comfort Measures st: NotStopd
id: Amiodarone t0: [22:00:00 07/04/2015] el: 2 cg: RN cu: CSRU vo: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Morphine Sulfate t0: [22:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Neosynephrine-k t0: [20:00:00 07/04/2015] el: 3 cg: RN cu: CSRU vo: 0 do: 3.8 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Lidocaine t0: [22:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 du: mgmin so: D5W sv: 500 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: Comfort Measures st: NotStopd id: Heart Rate t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Morphine Sulfate t0: [01:00:00 08/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: LOS Net Body Balance t0: [23:00:00 08/04/2015] el: 3 cg: RN cu: -1 cv: 12670 ac: multiple days ap: carryForward re: 0
id: Service Type t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Heart Rate t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 42 n1: 42 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Previous WeightF t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 08/04/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 08/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 08/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 12.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 08/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 08/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Morphine Sulfate t0: [02:00:00 08/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Morphine Sulfate t0: [20:00:00 07/04/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
ci: 38406 t0: [13:57:00 05/04/2015] cu: CSRU di: No Disch Status dt: 3862